Maisa Alves Pebbles, FNP - Medicare Nurse Practitioner in Andover, MN

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Maisa Alves Pebbles, FNP is a medicare enrolled "Nurse Practitioner" in Andover, Minnesota. She went to University Of Minnesota Medical School and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medexpress Urgent Care Minnesota Pc and her current practice location is 2134 Bunker Lake Blvd Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 754-4396.

Maisa Alves Pebbles is licensed to practice in Minnesota (license number R1333572) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336117480.

Contact Information

Maisa Alves Pebbles, FNP
2134 Bunker Lake Blvd Nw,
Andover, MN 55304-3910
(763) 754-4396
(763) 754-9198

Map and Direction




Provider's Profile

Full NameMaisa Alves Pebbles
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location2134 Bunker Lake Blvd Nw, Andover, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maisa Alves Pebbles attended and graduated from University Of Minnesota Medical School in 2004
  NPI Data:
  • NPI Number: 1336117480
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 08/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335164631
  • Enrollment ID: I20051005001161

Medical Identifiers

Medical identifiers for Maisa Alves Pebbles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336117480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R1333572 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medexpress Urgent Care Minnesota Pc892130746312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maisa Alves Pebbles allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468
Entity NameBrainerd Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295801777
PECOS PAC ID: 0648270272
Enrollment ID: O20070105000140
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameMedexpress Urgent Care Minnesota Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588025332
PECOS PAC ID: 8921307463
Enrollment ID: O20160504001550

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maisa Alves Pebbles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maisa Alves Pebbles, FNP
1440 109th Ave Nw,
Coon Rapids, MN 55433-4211

Ph: (763) 754-1231		Maisa Alves Pebbles, FNP
2134 Bunker Lake Blvd Nw,
Andover, MN 55304-3910

Ph: (763) 754-4396

Reviews and Comments


Nurse Practitioner Nurses in Andover, MN

Divina Fama Bikeri, CNP
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Stephanie Lynn Piche, NP-C
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Joy Hanna Cloutier, PHMNP
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Chandrawatie Khemraj, APRN
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Phone: 763-587-4688    Fax: 763-587-4662
Helen C Knutson, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a, Andover, MN 55304
Phone: 763-712-6000    Fax: 763-712-6090

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.