Active NPI
Elizabeth Ann Griffin, PA-C
- Physician Assistant
- Stillwater, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11101
- Practice address
- 921 Greeley St S
Stillwater, MN 55082-5935 - Phone
- (651) 439-1234
- NPI assigned
- Aug 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11101 | MN | Primary |
Addresses
Primary practice location
921 Greeley St S
Stillwater, MN 55082-5935
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085003802 | Other | IL | LISCENSED PHYSICIAN ASSISTANT |
| 1092809 | Other | NCCPA | |
| 11101 | Other | MN | LICENSED PHYSICIAN ASSISTANT |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
921 Greeley S St
Stillwater, MN 55082-5935
Phone (651) 439-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11101 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Plan, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc. | Past | Accepting new patients | |
| Hennepin Healthcare System, Inc | Past | Accepting new patients | |
| Joseph J. Furlin, M.D., S.C. | Past | Accepting new patients |
Locations
4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555
9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220
9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
701 Park Ave
#R1060
Minneapolis, MN 55415
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
921 Greeley St S
West Lakeland, MN 55082
Organizations & group practices 7
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
dba HealthPartners Well@Work-Anoka County
- Health Service Clinic/Center
- Anoka, MN
- NPI 1962704346
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Neonatal Nurse Practitioner
- Stillwater, MN
- NPI 1821114729
-
- Obstetrics & Gynecology Physician
- Melrose Park, IL
- NPI 1184898686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1285949677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 GREELEY ST S",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825935",
"telephone_number": "651-439-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSED PHYSICIAN ASSISTANT",
"identifier": "085003802",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1092809",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PHYSICIAN ASSISTANT",
"identifier": "11101",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
- Vashti Rose Graphenteen, DPT
- Matthew M Grau, D.D.S.
- Heather L Gray, PHYSICIAN ASSISTANT
- Mary Gray
- Great Lakes Oral & Maxillofacial Surgery, P.a.
- Asher Grogan
- Grounded Heart Therapy LLC
- Group Health Plan, Inc (HealthPartners Clinic Stillwater Lakeview Campus)
- Group Health Plan, Inc (Well@Work Washington County)
- Group Health Plan, Inc (HealthPartners Clinic Stillwater)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.