Elizabeth Erin Gilbertson, PA
Individual provider Active NPI Medical Physician Assistant · Mora, MN
NPI 1316389307 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1316389307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 11340 (MN)
- Practice address
- 301 Highway 65 S
Mora, MN 55051-1899 - Phone
- (320) 225-3317
- Fax
- (320) 225-3507
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20131111001346 | MN | Practitioner - Physician Assistant | 3072749597 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11340 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welia Health | Current |
Accepting new patients | |
| Welia Health | Current |
Accepting new patients |
Locations
620 Sandy Ln
Hinckley, MN 55037
Phone (320) 384-6189
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
1425 Main St N
Pine City, MN 55063
Phone (320) 322-5141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 11340 | MN | Yes |
Addresses
Primary practice location
301 Highway 65 S
Mora, MN 55051-1899
Mailing address
2039 153Rd Ave
Mora, MN 55051-7457
Phone (763) 244-7851
Other names
- Elizabeth Erin Frost-Rolf
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | egilbertson179324@excellian.direct.allina.com | Direct |
Other providers in Mora, MN
- Rebecca Fore
- Emily Nicole Peysar Funk
- Christina Gaalswyk
- Ryan Jon Gaalswyk
- Danielle Gilbertson
- Harlan James Gilbertson
- Nicholas Gordon Giller
- Barbara Joanne Greenwood
- Kendall Leigh Gunderman
- Haasken Dental, LLC
All providers in Mora, MN · Medical 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 Sep 19, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.