ALEXIS A. BOLICK (PA-C) – Physician Assistant, NPI 1255660452
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for ALEXIS A. BOLICK (PA-C)
Grove Circle North, The Grove, Maple Grove, Hennepin County, Minnesota, 55311-1566, United States
MAPLE GROVE, MN 553694466
Phone: (763) 201-8191
Fax: (763) 201-8192
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $3,164.
Total Amount is formed as General ($3,164) + Research ($0) + Ownership ($0) = $3,164.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($836).
Total Amount
$3,164
General + Research + Ownership
Payments
75
Total payment records
General Amount
$3,164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $836 |
| Saluda Medical Americas, Inc. | $697 |
| SPR Therapeutics, Inc | $378 |
| Nevro Corp. | $376 |
| Boston Scientific Corporation | $183 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100324000215 | I | Physician Assistant | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 283 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 88 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 115 | 80 | $0 |
| 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 | 83 | 50 | $0 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 55369)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Pain Management, Family Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Anesthesiology, Interventional Pain Management | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Pain Management | MN |
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