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NPI · 1124286901 · NPPES-sourced

Elizabeth Radke PA-C

ActivePhysician Assistant
NPI Number
1124286901
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(952) 442-2191
License MN · 1128
Last Updated
About 16 years ago (Jul 2009)
Enumerated 2008-05-28
Primary practice addressMN · 55387-1752
500 S Maple StWaconia, MN 55387-1752
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About this NPIWhat this record shows.

NPI 1124286901 is registered to Elizabeth Radke PA-C, a Physician Assistant practising at 500 S Maple St in Waconia, Minnesota. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Elizabeth Radke PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2008.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2008-05-28
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Elizabeth Radke PA-C accepts. To confirm in-network status with your specific health plan, contact Elizabeth Radke PA-C directly at (952) 442-2191.

Frequently asked

Yes. NPI 1124286901 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 442-2191.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Elizabeth Radke PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2009-07
Enumerated2008-05-28
StatusActive
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9 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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