Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Nicole Koes, PA-C

Individual provider Physician Assistant · NPI 1417503558

Alexandra Nicole Koes, PA-C is a Physician Assistant in Maple Grove, Minnesota. Graduated from Texas Tech University Health Science Center School of Medicine in 2020, 6 years ago. Practices with Interventional Spine and Pain Physicians PA, a 43-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9645 Grove Cir N Ste 250
Maple Grove, MN 55369-2683
Phone: (763) 201-8191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13496 (MN)

Record details

NPI number1417503558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Interventional Spine And Pain Physicians Pa — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Maple Grove