Stephanie L Alexander, APRN, CNP
Individual provider Active NPI Nurse Practitioner · Deer River, MN
NPI 1639186901 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1639186901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP498 (MN)
- Practice address
- 115 10TH Ave NE Ste a
Deer River, MN 56636-8795 - Phone
- (218) 246-8275
- Fax
- (218) 246-8279
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 49
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Duluth Clinic LTD
Deer River Healthcare Center Inc
Practice addresses (Care Compare)
1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150
115 10TH Ave NE
Suite a
Deer River, MN 56636-8795
Phone (218) 246-8275
Hospital & facility affiliations
- Essentia Health Virginia
- Essentia Health Deer River
- Essentia Health St Mary'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in VA, MN, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602001315 | VA | Practitioner - Nurse Practitioner | 1850373911 | Reassigns benefits to 1 organization |
| I20111228000040 | MN | Practitioner - Nurse Practitioner | 1850373911 | Reassigns benefits to 6 organizations |
| I20180410001838 | PA | Practitioner - Nurse Practitioner | 1850373911 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204077-0 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| International Falls Memorial Hospital Association | Current |
Accepting new patients | |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc | Current |
Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| International Falls Memorial Hospital Association | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Essentia Health Virginia, LLC | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| MCV Associated Physicians | Past |
Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900
115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
100 N Academy Ave
Danville, PA 17822
1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
727 N Main St
Emporia, VA 23847
Phone (434) 348-4400
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024127876 | VA | |
| Adult Health Nurse Practitioner | 363LA2200X | 204077-0 | MN | |
| Nurse Practitioner | 363L00000X | CNP498 | MN | Yes |
Addresses
Primary practice location
115 10TH Ave NE Ste a
Deer River, MN 56636-8795
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204077-0 | Other | MN | STATE LICENSE |
| C06778 | Other | VA | GROUP PTAN |
| 10001438 | Other | VA | SENTARA |
Other names
- Ms. Stephanie B Alexander
Other providers in Deer River, MN
All providers in Deer River, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.