Ellen Gustafson
Physician Assistant · Minneapolis, MN
Ellen Gustafson is a physician assistant with a practice address in Minneapolis, Minnesota, and NPI 1417707563, issued on Mar 22, 2024. Check the license (Minnesota 14847, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ellen Gustafson
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 14847 MN
Self-reported in NPPES; status is on the state search - Practice location
- 701 Park Ave, Minneapolis, MN 55415
- Phone
- (612) 873-6963
- Enumerated
- Mar 22, 2024
- Record last updated
- Jun 4, 2024
- Medicare enrollment
- Enrolled (PECOS I20240424002644); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 701 Park Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ellen Gustafson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 14847Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Hennepin Healthcare System IncMinneapolis, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ellen Gustafson among 4,007 physician assistant records in Minnesota
Ellen Gustafson is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 91% of them.
- NPI issued2024 · 91% of these records are older, 5% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2023 · median 2017 among the 3,131 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
500 physician assistant records list a practice address in Minneapolis
They are 500 of the 22,918 NPPES records with a practice address in Minneapolis, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Minneapolis → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- George Froehle, PA-CMinneapolis, MN 554151629221254
- Katherine Garfin, PA-CMinneapolis, MN 554151932142437
- Kim Grove, PA-CMinneapolis, MN 554151770714263
- Gretta Hughes, PA-C, MPHMinneapolis, MN 554151255512331
- George Moore, PA-CMinneapolis, MN 554151104990654
- Jeffrey Nelson, PNPMinneapolis, MN 554151508885021
- Michelle Oeding, P.A.Minneapolis, MN 554151972770188
- Cindy Poehls, P.A.Minneapolis, MN 554151447418181
Common questions
What is Ellen Gustafson's NPI number?
Ellen Gustafson's National Provider Identifier (NPI) is 1417707563, issued on Mar 22, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Ellen Gustafson located?
The NPPES record lists a practice address at 701 Park Ave, Minneapolis, MN, 55415. Phone: (612) 873-6963. Providers update this record themselves, so call before visiting.
How can I verify Ellen Gustafson's license?
NPPES lists Minnesota license number 14847, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.