MRS. ELISE NICOLE LILL


Address: 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435
Phone: (952) 835-9880

MRS. ELISE NICOLE LILL (NPI# 1730619487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730619487
Entity Type Individual
Full Name MRS. ELISE NICOLE LILL
Other Name ELISE NICOLE ROSENOW
Credential PHYSICIAN ASSISTANT
Practice Address 4300 Market Pte Dr Ste 100
Bloomington
MN 55435-5435
Mailing Address 4300 Marketpoint Drive Suite 100
Bloomington
MN 55435-5435
Practice Telephone (952) 835-9880
Practice Fax Number 9528571554
Mailing Telephone 9528359880
Mailing Fax Number 9528571554
Enumeration Date 2017-06-15
Last Update Date 2020-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4300 MARKET PTE DR STE 100
City BLOOMINGTON
State MN
Zip Code 55435-5435

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NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
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1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
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1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1386292886 Quinn Harmon Physician Assistant 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 2019-08-28
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1528417557 Kathryn Shalbrack Physician Assistant 4300 Marketpointe Dr, Bloomington, MN 55435-5423 2016-06-09
1740634203 Alfonso Luna IIi Physician Assistant 657 S Lancewood Ave, Bloomington, CA 92316-1336 2016-04-20
1215308671 Sara Ann Houk Physician Assistant 2200 E. Washington St, Bloomington, IL 61701-4323 2015-10-12
1760865133 Patrick D Machacek Physician Assistant 10633 Vincent Ave S, Bloomington, MN 55431-3733 2015-07-03
1558740803 Samuel Johnson Physician Assistant 2901 Metro Drive, Suite 527, Bloomington, MN 55122 2015-05-20
1881085389 Jennifer Ann Sutherland Physician Assistant 8645 Stevens Ave S, Bloomington, MN 55420-2947 2015-02-05
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 55435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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