Individual provider Active NPI

Elizabeth Denzer, PA-C

  • Physician Assistant
  • Plymouth, MN
National Provider Identifier
1477241776
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14440 28TH PL N
Plymouth, MN 55447-4846
Phone
(612) 444-3000
NPI assigned
Apr 26, 2023
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 NU Primary

Addresses

Primary practice location

14440 28TH PL N
Plymouth, MN 55447-4846

Mailing address

2428 E 117TH St
Burnsville, MN 55337-1269

Other names 1

  • Elizabeth Hall Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821002897 MN Practitioner - Physician Assistant 8123566189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14440 28TH PL N
Plymouth, MN 55447-4846
Phone (612) 444-3000

1789 Woodlane Dr
Suite a
Woodbury, MN 55125-3910
Phone (612) 444-3000

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

2440 E 117TH St
Burnsville, MN 55337-1269
Phone (651) 331-8478

2847 Johnson St NE
Minneapolis, MN 55418-3055
Phone (612) 444-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14986MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pain Relief and Wellness Center, PLLC Single Specialty CurrentSince Jun 16, 2024 Accepting new patients
Valley Pain Relief and Wellness Center, PLLC Single Specialty Past Accepting new patients

Locations

2428 E 117th St
Burnsville, MN 55337

2440 E 117th St
Burnsville, MN 55337
Phone (651) 331-8478

14440 28th Pl N
Plymouth, MN 55447
Phone (763) 337-9676

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1477241776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 28TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474846",
            "telephone_number": "612-444-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENZER",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.