Alexandra Mae Hradsky, MD
Individual provider Active NPI Family Medicine Physician · Staples, MN
NPI 1770146102 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1770146102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 67928 (MN)
- Practice address
- 49725 County 83
Staples, MN 56479-5280 - Phone
- (218) 894-1515
- Fax
- (218) 894-8767
- NPI assigned
- Apr 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakewood Health System
Practice addresses (Care Compare)
49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515
Hospital & facility affiliations
- Lakewood Health System Home Care & Hospice
- Lakewood Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
|---|---|---|---|---|
| I20220927001328 | MN | Practitioner - Family Practice | 9537593124 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29932 | MN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients |
Locations
653 Pillsbury St N
Pillager, MN 56473
Phone (218) 746-4550
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
Interoperability endpoints
- asauer633961@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 67928 | MN | Yes |
Addresses
Primary practice location
49725 County 83
Staples, MN 56479-5280
Mailing address
49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515
Other names
- Alexandra Mae Sauer
Other providers in Staples, MN
- Gerald Wayne Henrickson
- Craig Henson
- Vicki Lynn Hessler
- Heidi Marie Hoppe
- HPM of Minnesota PLLC
- Michael Kenneth Hudalla
- Christopher Douglas Hughes
- Donald B Hughes
- Independent School District 2170
- Infinite Health Collaborative, PA
All providers in Staples, MN · Family Medicine 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 31, 2024. 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.