NPIMap

Individual provider Active NPI

Elissa Louks

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1437803848
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13993 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2595
Phone
(651) 254-3456
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13993 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2595

Mailing address

3315 53Rd Ave N Apt 203
Brooklyn Center, MN 55429-3444
Phone (715) 338-1448

Other practice location 1

8170 Old Carriage Ct Ste 100
Shakopee, MN 55379-3164
Phone (952) 428-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220623000348 MN Practitioner - Physician Assistant 8123407079 Reassigns benefits to 4 organizations
I20240429002577 WI Practitioner - Physician Assistant 8123407079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Emergency Associates PAGroup PAC ID 8325950975, 20 clinicians
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

265 Creek LN S
Jordan, MN 55352-1214
Phone (952) 428-1200

6150 Egan Dr
Savage, MN 55378-2699
Phone (952) 428-3370

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164

8170 Old Carriage CT
Suite 100
Shakopee, MN 55379-3164
Phone (952) 428-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7719WIMDProfessional Counselor
13993MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mngi Digestive Health, P.a. CurrentSince Aug 1, 2026 Accepting new patients
Regions Hospital CurrentSince May 2, 2022 Accepting new patients
Lakeview Memorial Hospital Association Inc. CurrentSince Jun 1, 2022 Accepting new patients
Hudson Hospital, Inc. CurrentSince Mar 20, 2024 Accepting new patients
St. Francis Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jun 1, 2022 Accepting new patients
Regions Hospital Past Accepting new patients
Hudson Hospital, Inc Past Accepting new patients

Locations

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

237 Radio Dr
Ste 210
Woodbury, MN 55125
Phone (612) 502-5092

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1437803848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 53RD AVE N APT 203",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293444",
            "telephone_number": "715-338-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012595",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 Old Carriage Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793164",
            "country_code": "US",
            "telephone_number": "952-428-3600",
            "fax_number": "952-428-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUKS",
        "first_name": "ELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.