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

Individual provider Critical Care Medicine Registered Nurse · NPI 1073065538

Alexis Rupp is a Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices with University Anesthesia Providers LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA 1993 (MN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN 18159-9 (MN)

Record details

NPI number1073065538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2016
Last updated in NPPESDecember 11, 2016
Mailing address16322 25th St S, Lakeland, MN 55043-9732

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Anesthesia Providers Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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