NPIMap

Individual provider Active NPI

Elizabeth K Saterenzoller, PA-C

  • Physician Assistant
  • Mankato, MN
National Provider Identifier
1003180555
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11079 Issued in MN
Practice address
1015 Marsh Street
Mankato, MN 56002-8673
Phone
(507) 385-4700
NPI assigned
Mar 1, 2012
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11079 MN Primary
Physician Assistant 363A00000X 4312 WI
Surgical Physician Assistant 363AS0400X 1682 MN
Surgical Physician Assistant 363AS0400X 4312-23 WI

Addresses

Primary practice location

1015 Marsh Street
Mankato, MN 56002-8673

Mailing address

P.O. Box 8673
1015 Marsh Street
Mankato, MN 56002-8673
Phone (507) 385-4700

Other practice location 1

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Other practice location 2

927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 439-5330

Other practice location 3

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120426000396 MN Practitioner - Physician Assistant 0042472623 Reassigns benefits to 4 organizations
I20210121001847 WI Practitioner - Physician Assistant 0042472623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1682MNMDChiropractor
11079MNMDPhysician Assistant
4312-23WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regions Hospital CurrentSince Oct 1, 2017 Accepting new patients
Regions Hospital CurrentSince Oct 1, 2017 Accepting new patients
Hudson Hospital, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
Hudson Hospital, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Mar 5, 2012 Accepting new patients
Group Health, Inc. CurrentSince Apr 4, 2023 Accepting new patients
Lakeview Memorial Hospital Association Inc. CurrentSince Oct 1, 2017 Accepting new patients
Group Health, Inc. CurrentSince Apr 4, 2023 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Past Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

1015 Marsh St
Mankato, MN 56001
Phone (507) 385-4700

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1003180555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8673",
            "address_2": "1015 MARSH STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028673",
            "telephone_number": "507-385-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MARSH STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028673",
            "telephone_number": "507-385-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Churchill St W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826605",
            "country_code": "US",
            "telephone_number": "651-439-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATERENZOLLER",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11079",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4312",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "1682",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "4312-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.