Elisabeth Gilead

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

6684 Issued in MN

Practice address

12000 Elm Creek Blvd N Ste 250
Maple Grove, MN 55369-7164

Phone

(952) 401-8300

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• South Lake Clinic, P.a.

  • Pediatrics Physician
  • Minnetonka, MN
  • NPI 1427027184
  Medicare reassignment NPD
• Dakota Pediatrics, P.a.

  • Primary Care Clinic/Center
  • Inver Grove Heights, MN
  • NPI 1285943027
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1598317570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697164",
            "telephone_number": "952-401-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILEAD",
        "first_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "6684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marissa Giebenhain, PT
• Andrew Gilbert
• Greta Gilbertson
• Jeffrey Anton Gilbertson, MD
• Taylor Nicole Gilbertson, CNP
• Karin Soby Gilkison, M.D./M.P.H.
• Ashyante Shantell Gill
• Gillette Children'S Specialty Healthcare
• Cassidy Christine Gilman, LICSW
• Jonathan C Gipson, M.D.

• Pediatric Nurse Practitioner in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.