Active NPI
Elizabeth Feldmeier, PA
- Physician Assistant
- Saint Paul, MN
National Provider Identifier
1710328828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11389
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-3456
- NPI assigned
- Jul 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4163-23 | WI | |
| Physician Assistant | 363A00000X | 11389 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
9855 Hospital Drive
#102A
Maple Grove, MN 55369
Phone (763) 581-9220
Other practice location 1
927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 439-5330
Other practice location 2
405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000
Other practice location 3
9855 Hospital Dr
#102a
Maple Grove, MN 55369
Phone (763) 581-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4163-23 | WI | MD | Physician Assistant |
| 11389 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1710328828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9855 HOSPITAL DRIVE",
"address_2": "#102A",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "763-581-9220"
},
{
"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": "551012502",
"telephone_number": "651-254-3456"
}
],
"practiceLocations": [
{
"address_1": "927 Churchill St W",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826605",
"country_code": "US",
"telephone_number": "651-439-5330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Stageline Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9855 Hospital Dr",
"address_2": "#102a",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "55369",
"country_code": "US",
"telephone_number": "763-581-9220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELDMEIER",
"first_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4163-23",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.