NPIMap

Individual provider Active NPI

Alexcee Michelle Nienow

  • Nurse Practitioner
  • Roseville, MN
National Provider Identifier
1619719259
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11398 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11398 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

8586 Kimbro LN N
Stillwater, MN 55082-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001920 MN Practitioner - Nurse Practitioner 5395286330 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905

8586 Kimbro LN N
Stillwater, MN 55082-8330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics CurrentSince Oct 1, 2024 Accepting new patients
Fairview Clinics CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Past Accepting new patients
Allina Health System Past Accepting new patients
Cardiothoracic Surgery Clinic of North Ms Past Accepting new patients
Consulting Radiologists, LTD PastSince Oct 1, 2024 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1240 Osborne Rd NE
Fridley, MN 55432
Phone (612) 775-2345

1880 N Frontage Rd
Hastings, MN 55033
Phone (651) 438-1800

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1619719259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8586 KIMBRO LN N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550828330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENOW",
        "first_name": "ALEXCEE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "11398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.