Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Alexandra Nicole Koes , PA-C

Physician Assistant โ€ข Maple Grove, MN

Active NPI 1417503558 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

9645 Grove Cir N Ste 250
Maple Grove, MN 553692683

Call 7632018191 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9645 Grove Cir N Ste 250

Maple Grove, MN 553692683

Telephone 7632018191
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Interventional Spine And Pain Physicians Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2020

Medicare patients

200 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $62,834 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $52,833 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

3,121 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$211,233 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $896.97 across 18 records.

By nature of payment

  • Food and Beverage: $896.97 across 18 records.

Reporting-company totals (3 largest of 9)

  • BIOTRONIK NRO, Inc.: $185.66 across 6 records.
  • Boston Scientific Corporation: $180.56 across 2 records.
  • Medtronic, Inc.: $170.53 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alexandra Koes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alexandra Koes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maple Grove and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: 263. Middle half: 155 to 692.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Minnesota (2024, 2,403 clinicians with data). Median for this group: 193. Middle half: 86 to 387.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $20,276. Middle half: $9,915 to $36,014.

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,403 clinicians with data). Median for this group: $13,356. Middle half: $6,227 to $23,836.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $14,789. Middle half: $7,778 to $24,833.

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,403 clinicians with data). Median for this group: $9,852. Middle half: $4,588 to $17,914.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 39 clinicians with data). Median for this group: 930. Middle half: 281 to 2,004.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Minnesota (2024, 2,425 clinicians with data). Median for this group: 227. Middle half: 71 to 832.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 39 clinicians with data). Median for this group: $69,183. Middle half: $3,242 to $175,625.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Minnesota (2024, 2,425 clinicians with data). Median for this group: $3,262. Middle half: $590 to $83,279.

63 active clinicians are listed under Physician Assistant with a practice address in Maple Grove, MN (4,067 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Grove

39.7% of these 63 clinicians have the CMS telehealth indicator.

79.4% of these 63 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 18 records totaling $896.97.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $171.25
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTELLIS ADAPTIVESTIM General $164.36
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $124.58
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $120.33
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Senza General $120.00
Abbott Laboratories
Food and Beverage
In-kind items and services
PROCLAIM General $28.16
Abbott Laboratories
Food and Beverage
In-kind items and services
PROCLAIM General $25.23
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $23.86
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $20.46
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Belbuca General $15.64
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $15.55
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $15.16
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $14.19
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $13.38
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WaveWriter Alpha Prime 16 General $9.31
Biocomposites Inc
Food and Beverage
Cash or cash equivalent
Stimulan General $7.59
Medtronic, Inc.
Food and Beverage
In-kind items and services
INCEPTIV General $6.17
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $1.75

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
292 139 $275.17 $74.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
122 91 $386.86 $104.85
80307 Testing for presence of drug, by chemistry analyzers
118 75 $395.00 $60.90
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
69 43 $724.50 $194.77
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
27 21 $483.00 $153.46
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
24 24 $103.13 $27.86
G0444 Annual depression screening, 5 to 15 minutes
24 24 $63.13 $15.78
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
21 18 $241.50 $112.14

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 404 11,044 $8,522.45 88
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 340 9,211 $7,127.37 80
Gabapentin Gabapentin 311 11,044 $3,981.54 88
Pregabalin Pregabalin 247 7,932 $8,887.42 67
Oxycodone Hcl Oxycodone Hcl 198 5,259 $2,430.40 55
Morphine Sulfate Er Morphine Sulfate 171 4,637 $3,561.90 35
Tramadol Hcl Tramadol Hcl 168 4,655 $1,267.69 37
Topiramate Topiramate 143 5,826 $1,391.33 33
Tizanidine Hcl Tizanidine Hcl 143 4,964 $1,441.67 58
Belbuca Buprenorphine Hcl 116 3,199 $100,082.63 32
Methocarbamol Methocarbamol 103 3,032 $1,244.10 30
Buprenorphine Buprenorphine 102 2,856 $33,012.51 23
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 79 2,702 $955.25 30
Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl 59 1,588 $13,403.46 14
Duloxetine Hcl Duloxetine Hcl 48 1,920 $526.15 โ€”
Diclofenac Sodium Diclofenac Sodium 42 1,170 $775.30 17
Meloxicam Meloxicam 36 1,125 $121.30 โ€”
Buprenorphine Hcl Buprenorphine Hcl 24 556 $399.08 โ€”
Fentanyl Fentanyl 22 630 $1,732.52 โ€”
Methylprednisolone Methylprednisolone 22 132 $130.34 22
Hydroxyzine Hcl Hydroxyzine Hcl 21 582 $546.04 โ€”
Xtampza Er Oxycodone Myristate 21 583 $8,376.92 โ€”
Nortriptyline Hcl Nortriptyline Hcl 20 580 $192.24 โ€”
Baclofen Baclofen 16 483 $142.15 โ€”
Oxycontin Oxycodone Hcl 14 400 $5,827.81 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 13496

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20210330002152

Enrollment State Jurisdiction

MN

PECOS Control ID

6709293236

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Interventional Spine And Pain Physicians Pa

320 Coon Rapids Blvd Nw, Coon Rapids, MN 554335640

Phone: 7632018191

Interventional Spine And Pain Physicians Pa

916 Saint Peter St, Delano, MN 553282813

Phone: 7632018191

Interventional Spine And Pain Physicians Pa

9645 Grove Cir N, Maple Grove, MN 553692684

Phone: 7632018191

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Emily Aeshliman , OTR, L

Occupational Therapist

NPI 1326553165

Occupational Therapist Registered, L

Dr. William Ahlenius , MD

Physical Medicine & Rehabilitation

NPI 1811940117

Doctor of Medicine (M.D.)

Danielle Anderson , FNP-C

Nurse Practitioner - Family

NPI 1629778014

Family Nurse Practitioner (Certified)

Laurie Applebee , PT

Physical Therapist

NPI 1629181755

Physical Therapist

Dr. Ronald Boeding , MD

Anesthesiology - Pain Medicine

NPI 1104093152

Doctor of Medicine (M.D.)

Alexis Bolick , PA-C

Physician Assistant

NPI 1255660452

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location April 02, 2021

Registered at 9645 GROVE CIR N STE 250, MAPLE GROVE, MN 553692683 (Tel: 7632018191)

๐Ÿ“
Updated Business Mailing Address April 02, 2021

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 553692684 (Tel: 7632018191)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2021

Physician Assistant (license number reported to NPPES: MN 13496)

๐Ÿ“
Updated Practice Location March 01, 2021

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 553692684 (Tel: 7632018191)

๐Ÿ“
Updated Business Mailing Address March 01, 2021

Registered at 3600 N GARFIELD ST, MIDLAND, TX 797056329

๐Ÿ‘ค
Provider Name / Credentials Updated March 01, 2021

Recorded as ALEXANDRA KOES, PA-C

โœ…
NPI Profile Active August 14, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 14, 2019

Registered at 3600 N GARFIELD ST, MIDLAND, TX 797056329 (Tel: 4326201120)

๐Ÿ“
Business Mailing Address (Initial Record) August 14, 2019

Registered at 3158 120TH CT NE, BLAINE, MN 554492500 (Tel: 6518956020)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 14, 2019

Recorded as ALEXANDRA KOES

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration August 14, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417503558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2019
Last Update: April 02, 2021
Sole Proprietor: No

Other Physician Assistants in Maple Grove

All Physician Assistants in Maple Grove

Mailing Address

9645 Grove Cir N Ste 200

Maple Grove, MN 553692684

Phone: 7632018191

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.