Individual provider Active NPI

Elizabeth Ann Deyoung, DO

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1265052690
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
75870 Issued in MN
Practice address
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone
(651) 241-8000
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 81502 WI
Emergency Medicine Physician 207P00000X 5101027198 MI
Emergency Medicine Physician 207P00000X 75870 MN Primary

Addresses

Primary practice location

333 Smith Ave N
Saint Paul, MN 55102-2344

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230717000129 MI Practitioner - Emergency Medicine 1052731999 Reassigns benefits to 1 organization
I20240806003753 WI Practitioner - Emergency Medicine 1052731999 Reassigns benefits to 3 organizations
I20250306003733 MN Practitioner - Emergency Medicine 1052731999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Care Consultants PAGroup PAC ID 5496640161, 105 clinicians

Practice addresses (Care Compare)

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4000

Hospital & facility affiliations

  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Owatonna Hospital Hospital, Owatonna, MN, CCN 240069

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.56
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.48 of 100Reported as group
Quality
89.26
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75870MNMDEmergency Medicine Physician
81502WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Sep 1, 2024 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Ecc Addiction & Toxicology Services LLC CurrentSince May 12, 2024 Accepting new patients

Locations

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

8333 Felch St
Zeeland, MI 49464
Phone (616) 741-3790

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2829 University Ave SE
Ste 730
Minneapolis, MN 55414
Phone (612) 439-1868

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 5

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1265052690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022344",
            "telephone_number": "651-241-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "81502",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101027198",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "75870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.