Elizabeth Hirt, PAC
Individual provider Active NPI Physician Assistant · Park Rapids, MN
NPI 1235274697 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1235274697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10244 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- Fax
- (218) 732-2874
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Joseph'S Area Health Services
Practice addresses (Care Compare)
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 732-3311
Hospital & facility affiliations
- Vivie Home Health
- St Josephs Area Health Services
- Essentia Health St Marys - Detroit Lakes
- Essentia Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070416000505 | MN | Practitioner - Physician Assistant | 9335244672 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Area Health Services | Current |
Accepting new patients | |
| Dakota Clinic, LTD. | Past | Accepting new patients |
Locations
3314 Solutions Ctr
Chicago, IL 60677
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10244 | MN | Yes |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (218) 732-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 524118000 | Medicaid | MN | |
| 564L1HI | Other | MN | MNBS # |
| 27971 | Other | MN | NDBS # |
| 564L2HI | Other | MN | MNBS # |
| 00059882 | Other | MN | LHS-BANNER HEALTH # |
| HP77231 | Other | MN | HEALTHPARTNERS # |
| 1235274697 | Medicaid | MN | |
| 138859 | Other | MN | UCARE # |
| 564L0HI | Other | MN | MNBS # |
Other names
- Elizabeth Morris
Other providers in Park Rapids, MN
- Heartland Center of Natural Healing, PLLC
- Heartland Lakes Community School
- Stacia Lenore Heisler
- Rodney W Helm
- Jennifer M Hillukka
- Alissa Jo Hoban
- Susanne Elaine Holmen
- Hubbard County
- Hubbard County Developmental Achievement Center
- Hubbard County Heritage Living Center
All providers in Park Rapids, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.