Individual provider Active NPI

Elisa Mari Knapp, D.O.

  • Anesthesiology Physician
  • Minneapolis, MN
National Provider Identifier
1235305483
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
53903 Issued in MN
Practice address
14700 28TH Ave N Ste 20
Minneapolis, MN 55447-4876
Phone
(763) 852-0411
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 53903 MN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

14700 28TH Ave N Ste 20
Minneapolis, MN 55447-4876

Mailing address

14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876
Phone (763) 852-0411

Other practice location 1

PO Box 14909
Minneapolis, MN 55414-0909
Phone (612) 502-4282

Other practice location 2

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone (612) 467-3180

Other practice location 3

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-4097

Other identifiers 1

IdentifierTypeStateIssuer
20394OtherMNRESIDENT PERMIT

Other names 1

  • Dr. Elisa Mari Tanaka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611000031 MN Practitioner - Anesthesiology 2466676531 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mngi Digestive Health PAGroup PAC ID 8123016557, 276 clinicians

Practice addresses (Care Compare)

3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Anesthesia Providers, LLC Anesthesiology CurrentSince Dec 31, 2018 Accepting new patients
Mngi Digestive Health, P.a. CurrentSince Oct 14, 2025 Accepting new patients
Metropolitan Anesthesia Network, LLP Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients

Locations

5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530

9145 Springbrook Dr NW
Ste 300
Coon Rapids, MN 55433
Phone (612) 547-5600

1185 Town Centre Dr
Ste 200
Eagan, MN 55123
Phone (612) 870-5555

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557

15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555

237 Radio Dr
Ste 200
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: elisa.tanakado.p1@direct.mngastro.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1235305483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 28TH AVE N STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474876",
            "telephone_number": "763-852-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 28TH AVE N STE 20",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554474876",
            "telephone_number": "763-852-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 14909",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554140909",
            "country_code": "US",
            "telephone_number": "612-502-4282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172309",
            "country_code": "US",
            "telephone_number": "612-467-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "612-273-4097",
            "fax_number": "612-273-2457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "ELISA",
        "middle_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "53903",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT PERMIT",
            "identifier": "20394",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "TANAKA",
            "middle_name": "MARI",
            "prefix": "DR.",
            "credential": "ELISA MARI HANSEN DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.