Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Marcel Lee

Individual provider Surgical Physician Assistant · NPI 1265104764

Alexander Marcel Lee is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11850 Blackfoot St NW Ste 490
Coon Rapids, MN 55433-2773
Phone: (763) 427-1137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 13862 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 13862 (MN)

Record details

NPI number1265104764
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2021
Last updated in NPPESNovember 10, 2024
Certification dateNovember 10, 2024
Mailing address11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Coon Rapids