Active NPI
Christine Earll, PA-C
- Physician Assistant
- Buffalo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14716
- Practice address
- 1700 Highway 25 N
Buffalo, MN 55313-1930 - Phone
- (763) 682-1313
- Fax
- (763) 581-9090
- NPI assigned
- Jan 3, 2024
- 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 | 14716 | MN | Primary |
Addresses
Primary practice location
1700 Highway 25 N
Buffalo, MN 55313-1930
Mailing address
1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313
Other practice location 1
1001 Hart Blvd Ste 100
Monticello, MN 55362-8929
Phone (763) 295-2921
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cluce203351@direct.northmemorial.com | ||
| Direct Messaging Address | cluce203351@direct.northmemorial.com |
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Hart Blvd
Suite 100
Monticello, MN 55362-8929
Phone (763) 682-1313
1700 Hwy 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14716 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellis Health, PA | Current | Accepting new patients | |
| Stellis Health, PA | Current | Accepting new patients |
Locations
1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313
1001 Hart Blvd
Ste 100
Monticello, MN 55362
Phone (763) 295-2921
Interoperability endpoints
- cluce203351@direct.northmemorial.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Buffalo, MN
- NPI 1184664674
-
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1013103050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1366212136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-682-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-682-1313",
"fax_number": "763-581-9090"
}
],
"practiceLocations": [
{
"address_1": "1001 Hart Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "MN",
"postal_code": "553628929",
"country_code": "US",
"telephone_number": "763-295-2921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARLL",
"first_name": "CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14716",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cluce203351@direct.northmemorial.com",
"affiliation": "N",
"address_1": "1700 Highway 25 N",
"city": "Buffalo",
"state": "MN",
"country_code": "US",
"postal_code": "553131930",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cluce203351@direct.northmemorial.com",
"affiliation": "N",
"address_1": "1001 Hart Blvd Ste 100",
"city": "Monticello",
"state": "MN",
"country_code": "US",
"postal_code": "553628929",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.