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Maisa Alves Pebbles, CNP

NPI 1336117480ActiveIndividual· Nurse Practitioner· Maple Grove, MN

Nurse Practitioner (CNP) in Maple Grove, Minnesota, trained at University of Minnesota Medical School (class of 2004). 33 Medicare patients in 2024, $2,026 paid; nearly all of their 75 Part D prescriptions were generic (93%).

Overview

NPI1336117480
StatusActive
Entity typeIndividual
CredentialCNP
Sole proprietorYes
NPI issuedMar 14, 2006
Last updated in NPPESJan 10, 2025
Certified by providerJan 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X575MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MN); Practitioner - Nurse Practitioner (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients33
Services billed59 across 12 procedure codes
Paid by Medicare$2,026

Part D prescriptions in 2024

Prescriptions (claims)75 · 76 30-day fills
Patients63
Total drug cost$631.69
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Minnesota Medical School
Graduation year2004
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Maple Grove

All 26 nurse practitioners in Maple Grove · All nurse practitioners in Minnesota