Individual provider Active NPI

Alexa Boersen, PA-C

  • Surgical Physician Assistant
  • Minocqua, WI
National Provider Identifier
1568820199
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4631 Issued in WI
Practice address
9576 Hwy 70
Minocqua, WI 54548-9067
Phone
(715) 358-1000
NPI assigned
Feb 10, 2016
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4631 WI
Physician Assistant 363A00000X 5601007612 MI
Surgical Physician Assistant 363AS0400X 4631 WI Primary

Addresses

Primary practice location

9576 Hwy 70
Minocqua, WI 54548-9067

Mailing address

833 Michigan St NE BLDG 102
Grand Rapids, MI 49503-2578
Phone (616) 459-8209

Other practice location 1

9601 Townline Rd
Minocqua, WI 54548-9099
Phone (715) 358-1255

Other practice location 2

833 Michigan St NE Bldg 102
Grand Rapids, MI 49503-2578
Phone (616) 459-8209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160304000861 MI Practitioner - Physician Assistant 4789980525 Reassigns benefits to 1 organization
I20190409001377 WI Practitioner - Physician Assistant 4789980525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Flambeau Hospital, Inc.Group PAC ID 9032029871, 40 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1102 S Ctr Ave
Merrill, WI 54452-8203
Phone (715) 536-3399

2727 Plaza Dr
Marshfield, WI 54449-5703

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4631WIMDProfessional Counselor
5601007612MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 11, 2019 Accepting new patients
H2 Dermatology PLLC CurrentSince May 2, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 11, 2019 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 8, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 11, 2019 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

833 Michigan St NE
Bldg 102
Grand Rapids, MI 49503
Phone (616) 459-1440

833 Michigan St NE
Ste 102A
Grand Rapids, MI 49503
Phone (616) 459-1361

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

9601 Townline Rd
Minocqua, WI 54548
Phone (715) 358-1000

Interoperability endpoints

  • Direct secure messaging: alexa.boersen@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1568820199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 MICHIGAN ST NE BLDG 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032578",
            "telephone_number": "616-459-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 HWY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489067",
            "telephone_number": "715-358-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Townline Rd",
            "address_purpose": "LOCATION",
            "city": "Minocqua",
            "state": "WI",
            "postal_code": "545489099",
            "country_code": "US",
            "telephone_number": "715-358-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Michigan St NE Bldg 102",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032578",
            "country_code": "US",
            "telephone_number": "616-459-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOERSEN",
        "first_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4631",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007612",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "4631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

Verify at the official NPI Registry.