NPPES file of Aug 9, 2026

Alexandra Lynn Liethen

Physician Assistant · Maple Grove, MN

Alexandra Lynn Liethen is a physician assistant with a practice address in Maple Grove, Minnesota, and NPI 1508754979, issued on Jun 25, 2025. Check the license with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1508754979
Name
Alexandra Lynn Liethen
Primary taxonomy
Physician Assistant 363A00000X
Practice location
9645 Grove Cir N Ste 100, Maple Grove, MN 55369
Phone
(763) 302-4114
Enumerated
Jun 25, 2025
Record last updated
Jun 25, 2025
Medicare enrollment
Enrolled (PECOS I20250725002487); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 9645 Grove Cir N Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anneka Boomsma, DPTPhysical Therapist1598461352
  2. Stephanie Branchaud, PT, DPTPhysical Therapist1831648922
  3. Jason Cornelius, MDNeurology Physician1982610739
  4. Natalia Dorland, M.D.Neurology Physician1114241676
  5. Cassandra Edson, PA-CPhysician Assistant1497185052
  6. Jessica Idahor, DNP, APRN, FNP-CNurse Practitioner1396256392

Verify Alexandra Lynn Liethen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Minneapolis Clinic OF Neurology LtdGolden Valley, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Alexandra Lynn Liethen among 4,007 physician assistant records in Minnesota

Alexandra Lynn Liethen is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 95% of them.

  • NPI issued2025 · 95% of these records are older, 1% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated2025 · median 2017 among the 3,131 with a school on file
  • Record last updated2025 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

62 physician assistant records list a practice address in Maple Grove

They are 62 of the 1,568 NPPES records with a practice address in Maple Grove, and 4,007 physician assistant records in Minnesota.

The 8 physician assistant records with the nearest ZIP codes

  1. William Babb, PA-CMaple Grove, MN 553691780731166
  2. Jennifer Berger, PA-COsseo, MN 553691316047640
  3. Jacqueline Bruss, PA-COsseo, MN 553691720016587
  4. Thomas Ellis, P.A. CMaple Grove, MN 553691881632891
  5. Courtney Freeman, PA-CMaple Grove, MN 553691245259043
  6. Laura Kramer, PA-CMaple Grove, MN 553691679501373
  7. Gay Lentfer, PAMaple Grove, MN 553691104891100
  8. Jody Mikkelson, PA-CMaple Grove, MN 553691669400156

Common questions

What is Alexandra Lynn Liethen's NPI number?

Alexandra Lynn Liethen's National Provider Identifier (NPI) is 1508754979, issued on Jun 25, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Alexandra Lynn Liethen located?

The NPPES record lists a practice address at 9645 Grove Cir N Ste 100, Maple Grove, MN, 55369. Phone: (763) 302-4114. Providers update this record themselves, so call before visiting.

How can I verify Alexandra Lynn Liethen's license?

Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.