Alyssa Marie Anderson, M.D.
Individual provider Active NPI Gastroenterology Physician · Saint Paul, MN
NPI 1750709986 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1750709986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 60273 (MN)
- Practice address
- 435 Phalen Blvd
Saint Paul, MN 55130-5302 - Phone
- (651) 254-8680
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Park Nicollet Clinic
Group Health Inc
Practice addresses (Care Compare)
15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
- Regions Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 88 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 46 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160801001148 | MN | Practitioner - Internal Medicine | 8921304668 | Reassigns benefits to 1 organization |
| I20200728001508 | MN | Practitioner - Gastroenterology | 8921304668 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Park Nicollet Clinic | Current |
Accepting new patients | |
| Hutchinson Health | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients |
Locations
2621 Greenhaven Rd
Anoka, MN 55303
Phone (763) 587-4400
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
435 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 60273 | MN | Yes |
Addresses
Primary practice location
435 Phalen Blvd
Saint Paul, MN 55130-5302
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Phone (651) 254-8680
Other providers in Saint Paul, MN
- Sally Andersen
- Kahmiyah Anderson-Lamar
- Abigail Lynn Anderson
- Alaina Anderson
- Alicia Marie Anderson
- Alyssum Meryl Anderson
- Andrea Elizabeth Anderson
- Angela Joyce Anderson
- Anthony Wyatt Anderson
- Bethel Anderson
All providers in Saint Paul, MN · Gastroenterology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. 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.