Active NPI
Elizabeth Anne Vassallo, CNP
- Family Nurse Practitioner
- Rochester, MN
National Provider Identifier
1073189759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8208
- Practice address
- 2110 E Center St
Rochester, MN 55904-4754 - Phone
- (507) 287-0674
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8208 | MN | Primary |
Addresses
Primary practice location
2110 E Center St
Rochester, MN 55904-4754
Mailing address
2466 Fieldstone Rd SW
Rochester, MN 55902-1378
Phone (507) 884-1984
Other names 1
- Elizabeth Anne Claypool
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ElizabethV@ptsmnhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8208 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Minnesota Medical PC | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients | |
| US Department of Justice | Past | Accepting new patients |
Locations
4461 White Bear Pkwy
#2
White Bear Lake, MN 55110
Phone (651) 348-8851
Interoperability endpoints
- elizabethv@ptsmnhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- White Bear Lake, MN
- NPI 1912629866
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- General Practice Physician
- Rochester, MN
- NPI 1780899518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1073189759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2466 FIELDSTONE RD SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559021378",
"telephone_number": "507-884-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 E CENTER ST",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044754",
"telephone_number": "507-287-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSALLO",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "8208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ElizabethV@ptsmnhealth.org",
"affiliation": "N",
"endpointDescription": "Office Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "4461 White Bear Pkwy Ste 2",
"city": "White Bear Lake",
"state": "MN",
"country_code": "US",
"postal_code": "551107626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "CLAYPOOL",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.