Active NPI
Elizabeth Ann Siikarla
- Physician Assistant
- Hayward, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 825523
- Practice address
- 11134 N State Road 77
Hayward, WI 54843-5325 - Phone
- (218) 786-8364
- NPI assigned
- Aug 3, 2024
- Last updated
- Mar 13, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 825523 | WI | Primary |
Addresses
Primary practice location
11134 N State Road 77
Hayward, WI 54843-5325
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 1
1218 Meadowbrook Ct
Reedsville, WI 54230-8475
Phone (920) 901-3825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
10405 Vermont Ave
Hayward, WI 54843-6111
Phone (715) 699-1355
11134 N State Rd
Suite 77
Hayward, WI 54843-5325
Phone (715) 634-5505
1180 Chandler Dr
Spooner, WI 54801-2204
Phone (715) 635-2151
819 Ash St
Spooner, WI 54801-1201
Phone (715) 635-5303
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825523 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Duluth Clinic Health System | Current | Accepting new patients | |
| St. Mary's Hospital of Superior | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
11134 N State Road 77
Hayward, WI 54843
Phone (715) 634-5505
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Organizations & group practices 4
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.
-
dba Essentia Health St. Mary's Hospital Superior
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Clinical Medical Laboratory
- Superior, WI
- NPI 1205866928
-
dba Essentia Health St. Mary's-Superior Clinic
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
-
dba Essentia Health Duluth Clinic
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tamarack Health Hayward Medical Center
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
dba Essentia Health St. Mary's Hospital Superior
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
dba Essentia Health St. Mary's-Superior Clinic
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1154151330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11134 N STATE ROAD 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548435325",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [
{
"address_1": "1218 Meadowbrook Ct",
"address_purpose": "LOCATION",
"city": "Reedsville",
"state": "WI",
"postal_code": "542308475",
"country_code": "US",
"telephone_number": "920-901-3825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIIKARLA",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-03",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "825523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.