Individual provider Active NPI

Elizabeth A Schmidt, P.A.-C

  • Medical Physician Assistant
  • Rogers, MN
National Provider Identifier
1851346340
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8991 Issued in MN
Practice address
14040 Northdale Blvd
Rogers, MN 55374-9612
Phone
(763) 488-4100
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8991 MN
Medical Physician Assistant 363AM0700X 8991 MN Primary

Addresses

Primary practice location

14040 Northdale Blvd
Rogers, MN 55374-9612

Mailing address

6782 Lakeview Cir
Corcoran, MN 55340-9798
Phone (763) 478-9102

Other identifiers 4

IdentifierTypeStateIssuer
337590100MedicaidMN
6605306OtherMNMEDICA
HP46839OtherMNHEALTHPARTNERS
07Q42SCOtherMNBLUE CROSS BLUE SHIELD

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
I20050901000254 MN Practitioner - Physician Assistant 8224060058 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

14040 Northdale Blvd
Rogers, MN 55374-9612
Phone (763) 488-4100

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

Hospital & facility affiliations

  • Fairview Northland Regional Hospital Hospital, Princeton, MN, CCN 240141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8991MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Apr 23, 2019 Accepting new patients
Fairview Health Services CurrentSince Dec 15, 2007 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Apr 23, 2019 Accepting new patients
Fairview Health Services CurrentSince Dec 15, 2007 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 22, 2025 Accepting new patients
Fairview Clinics CurrentSince Dec 15, 2007 Accepting new patients
Fairview Clinics CurrentSince Dec 15, 2007 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 22, 2025 Accepting new patients
Fairview Clinics Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
Clinical Practice Management, P.C. Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

3305 Central Park Village Dr
Ste 140
Eagan, MN 55121
Phone (651) 406-8860

6545 France Ave S
Ste 586
Edina, MN 55435
Phone (952) 915-8770

14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

6320 Wedgwood Rd N
Osseo, MN 55311
Phone (763) 268-0400

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

14040 Northdale Blvd
Rogers, MN 55374
Phone (763) 241-5870

14040 Northdale Blvd
Ste 100
Rogers, MN 55374
Phone (763) 488-4100

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

Interoperability endpoints

  • Direct secure messaging: eschmidt41789@fairview.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1851346340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6782 LAKEVIEW CIR",
            "city": "CORCORAN",
            "state": "MN",
            "postal_code": "553409798",
            "telephone_number": "763-478-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 NORTHDALE BLVD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749612",
            "telephone_number": "763-488-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "8991",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "8991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337590100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6605306",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP46839",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07Q42SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.