Elissa Chung
Physician Assistant in Woodbury, MN. Individual provider (NPI-1).
NPI number1104338730
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1104338730
- Entity type
- Individual (NPI-1)
- Name
- Elissa Chung
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2017
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
779 Bielenberg Dr Ste 108Woodbury, MN 55125-4432
Phone 763-231-8700
Mailing address
820 Springer DrLombard, IL 60148-6413
Phone 815-744-8554
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Woodbury, MN
- Ariana Amini, PANPI 1790470565
- Jodi Lyn Baumgartner, PA-CNPI 1689668303
- Matthew Robert Beatty, PA-CNPI 1558537860
- Elizabeth Bennett, PANPI 1649446493
- Elenor Brown, PA-CNPI 1336900612
- Kaitlin Buckner, P.A.NPI 1104852094
- Patricia Ann Campbell, PA-C, RDNNPI 1558511212
- Kelsey Joy Carlson, PA-CNPI 1194538439
- Allison Cole, PA-CNPI 1033795539
- Darrel L Cotch, PANPI 1164495016
All 103 Physician Assistant providers in Woodbury · All 3,087 providers in Woodbury
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.