Individual provider Active NPI

Elizabeth Anne Vassallo, CNP

  • Family Nurse Practitioner
  • Rochester, MN
National Provider Identifier
1073189759
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8208 Issued in MN
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

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
8208MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Minnesota Medical PC CurrentSince Sep 20, 2022 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.