Active NPI 1336117480 Individual Practitioner Female Practitioner

Maisa Alves Pebbles , CNP

Nurse Practitioner • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Maisa Pebbles, CNP is a certified Nurse Practitioner practicing in Maple Grove, MN. With approximately 22 years of clinical experience since graduating from University Of Minnesota Medical School in 2004, Maisa Pebbles delivers high-quality medical care to the local community at 9855 HOSPITAL DR STE 102A.

Maisa Pebbles is affiliated with North Memorial Health Care and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9855 Hospital Dr Ste 102a

Maple Grove, MN 553694648

Telephone 7635819220

Fax 7635819221

Associated Practice Facility / Clinic

🏢 North Memorial Health Care Facility NPI 1972782571

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +10.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

23 Specialists

Practicing in Maple Grove, MN (2609 Statewide)

Telehealth Adoption Rate

30.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pebbles (22 Years) 22 Yrs

Maple Grove Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$240.00	$98.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$240.00	$92.60
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$225.00	$75.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$240.00	$105.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$300.00	$137.19
81003 Automated urinalysis test	13	13	$30.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$240.00	$93.34
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	35	33	$80.00	$34.98
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$225.00	$76.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$240.00	$99.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	61	$225.00	$76.80
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	53	53	$80.00	$35.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$240.00	$95.02
81003 Automated urinalysis test	13	13	$30.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$205.00	$64.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$240.00	$84.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$240.00	$89.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$240.00	$90.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$75.28	$43.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$135.18	$72.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$203.63	$88.05
99283 Emergency department visit with low level of medical decision making	14	14	$270.00	$56.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$112.45	$48.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$205.75	$88.26

Medical Specialties & State Licenses

CMS Verified: 2025-01-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 575

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

North Memorial Health Care

9855 Hospital Dr, Maple Grove, MN 553694648

Phone: 7635819220

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Nicole Lowe , MD

Family Medicine

NPI 1023014438

Doctor of Medicine (M.D.)

George Onyango , PA-C

Physician Assistant

NPI 1063863397

Physician Assistant (Certified)

Dr. Mark Hench , MD

Family Medicine

NPI 1073597381

Doctor of Medicine (M.D.)

Dr. John Leighton , MD

Family Medicine

NPI 1558469858

Doctor of Medicine (M.D.)

Charise Mehrkens , PA-C

Physician Assistant

NPI 1851621635

Physician Assistant (Certified)

Dr. Caitlin Anderson , MD

Emergency Medicine

NPI 1952543332

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location January 10, 2025

Registered at 9855 HOSPITAL DR STE 102A, MAPLE GROVE, MN 553694648 (Tel: 7635819220)

📍

Updated Business Mailing Address January 10, 2025

Registered at 3300 OAKDALE AVE N, ROBBINSDALE, MN 554222926

👤

Provider Name / Credentials Updated January 10, 2025

Recorded as MAISA PEBBLES, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2025

Nurse Practitioner (License #575 in MN)

📍

Updated Practice Location August 02, 2024

Registered at 2134 BUNKER LAKE BLVD NW, ANDOVER, MN 553043910 (Tel: 7637544396)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1500 109TH AVE NE, BLAINE, MN 554494670 (Tel: 7633541000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1440 109TH AVE NW, COON RAPIDS, MN 554334211 (Tel: 7637541231)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MAISA PEBBLES, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #R1333572 in MN)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Maisa Pebbles. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336117480

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 14, 2006

Last Update: January 10, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3300 Oakdale Ave N

Robbinsdale, MN 554222926

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.