Active NPI
Alexandra Wagner, PA-C
- Physician Assistant
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15197
- Practice address
- 800 E 28TH St Ste H2100
Minneapolis, MN 55407-3723 - Phone
- (612) 863-3900
- Fax
- (612) 775-3199
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15197 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St Ste H2100
Minneapolis, MN 55407-3723
Mailing address
PO Box 206
Minneapolis, MN 55480-0206
Phone (612) 262-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
800 E 28TH St
Minneapolis, MN 55407-3723
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.09 of 100
- Quality
- 79.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15197 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1376218883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554800206",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST STE H2100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073723",
"telephone_number": "612-863-3900",
"fax_number": "612-775-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "ALEXANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "15197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.