Elizabeth J Hedlund, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9654 Issued in MN

Practice address

2200 NW 26TH St
Owatonna, MN 55060

Phone

(507) 451-1120

NPI assigned

Apr 27, 2006

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 27, 2024 through Aug 27, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.hedlund@533814900228100.direct.elationemr.com

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.

• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD (past)
• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD (past)
• Medexpress Urgent Care Minnesota P.C.

  dba MedExpress Urgent Care - Rochester, Chateau Rd NW

  • Urgent Care Clinic/Center
  • Rochester, MN
  • NPI 1366968448
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1114984788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 S OAK AVE",
            "address_2": "STE 130",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602591",
            "telephone_number": "651-508-0936",
            "fax_number": "833-974-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW 26TH ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15650 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247022",
            "country_code": "US",
            "telephone_number": "952-997-4177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15650 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247022",
            "country_code": "US",
            "telephone_number": "952-997-4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Louise Hartle, DC
• Tanveer-E-Fatema Roshanali Hassam, MD
• Amina Omar Hassan
• Zamzam Bashir Hassen
• Health Track L.L.C. (Health Track Physical Therapy)
• Tyler Heimerl, DMD
• Harold John Paul Hellweg, D.O.
• Colleen Garry Helms, PT
• Grant Daniel Heslep, MD
• Cline Guy Hickok, MD

• Physician Assistant in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.