Individual provider Active NPI

Alexandra Deanne Millett, CNM

  • Advanced Practice Midwife
  • Minneapolis, MN
National Provider Identifier
1659917680
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
421 Issued in MN
Practice address
1901 44TH Ave N
Minneapolis, MN 55412-1209
Phone
(612) 338-2784
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 421 MN Primary

Addresses

Primary practice location

1901 44TH Ave N
Minneapolis, MN 55412-1209

Mailing address

1619 Dayton Ave
Ste 205
Saint Paul, MN 55104-6276
Phone (651) 272-3569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008000904 MN Practitioner - Certified Nurse Midwife (CNM) 8921406729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Tree IncGroup PAC ID 5799681615, 7 clinicians

Practice addresses (Care Compare)

1919 Nicollet Ave
Minneapolis, MN 55403-3747
Phone (612) 473-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Family Tree Inc CurrentSince Sep 29, 2021 Accepting new patients

Locations

1919 Nicollet Ave
Minneapolis, MN 55403
Phone (612) 445-0225

1619 Dayton Ave
Ste 205
Saint Paul, MN 55104
Phone (651) 645-0478

Interoperability endpoints

  • Direct secure messaging: millett.alexandra.p1@direct.familytreeclinic.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1659917680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE",
            "address_2": "STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046276",
            "telephone_number": "651-272-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 44TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121209",
            "telephone_number": "612-338-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETT",
        "first_name": "ALEXANDRA",
        "middle_name": "DEANNE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.