ALEXANDRA DEANNE MILLETT (CNM) – Advanced Practice Midwife, NPI 1659917680

ALEXANDRA DEANNE MILLETT (CNM) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 421 (MN). The NPI Number for ALEXANDRA DEANNE MILLETT (CNM) is 1659917680

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA DEANNE MILLETT (CNM)
NPI
1659917680
Phone
(612) 338-2784
Address
1901 44TH AVE N
Enumeration Date
25 November 2019
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124730800
Graduation Year
2019 (7 years ago)
PAC ID
8921406729
Group Practice PAC ID
5799681615
Professional Enrollment ID
I20211008000904
Address ID
MN554033747MI1919XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

Provider Addresses for ALEXANDRA DEANNE MILLETT (CNM)

  • 1901 44TH AVE N

    MINNEAPOLIS, MN 554121209

    Phone: (612) 338-2784

    Type: Mailing

  • 1619 DAYTON AVE

    STE 205

    SAINT PAUL, MN 551046276

    Phone: (651) 272-3569

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-10-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211008000904ICertified Nurse Midwife (Cnm)MNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 55412)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799681615View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MN
Nurse PractitionerIL
Nurse PractitionerMN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does ALEXANDRA DEANNE MILLETT (CNM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALEXANDRA DEANNE MILLETT (CNM) uses 1659917680.
Can I rely on ALEXANDRA DEANNE MILLETT (CNM) being an active provider?
As of the registry snapshot, ALEXANDRA DEANNE MILLETT (CNM) is marked active.
What taxonomy line describes ALEXANDRA DEANNE MILLETT (CNM)?
For research purposes, treat ALEXANDRA DEANNE MILLETT (CNM) as Advanced Practice Midwife in this dataset. Clinical services aligned with this taxonomy classification.
Where is ALEXANDRA DEANNE MILLETT (CNM) based?
ALEXANDRA DEANNE MILLETT (CNM) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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