ALEXA JORDAN HABETH (PA) – Physician Assistant, NPI 1508324328
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXA JORDAN HABETH (PA)
White Bear Avenue North, Maplewood, Ramsey County, Minnesota, 55109, United States
MAPLEWOOD, MN 551094568
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Mailing
PO BOX 272
WILLERNIE, MN 550900272
Phone: (612) 405-0297
Type: Mailing
2480 White Bear Ave N Ste 104
Maplewood, MN 551094568
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Location
200, West Burnsville Parkway, Burnsville, Dakota County, Minnesota, 55337, United States
BURNSVILLE, MN 553372598
Phone: (612) 444-3247
Fax: (612) 888-9247
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($41).
Total Amount
$72
General + Research + Ownership
Payments
4
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $41 |
| Phadia US Inc. | $17 |
| Teva Pharmaceuticals USA, Inc. | $14 |
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: 2019-04-22
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 |
|---|---|---|---|---|
| I20190422000975 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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