Stephanie P Elko, MPAS, PA-C
Physician Assistant, Medical in Saint Paul, MN. Individual provider (NPI-1).
NPI number1508893561
StatusActive
Last updated in NPPESApr 30, 2018
Details
- NPI
- 1508893561
- Entity type
- Individual (NPI-1)
- Name
- Stephanie P Elko
- Credential
- MPAS, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Apr 30, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 10118 | MN | Yes |
| 363A00000X | Physician Assistant | 10118 | MN |
Other names
- Stephanie P Faust (Former Name)
Practice location
2265 Como AveSaint Paul, MN 55108-1737
Phone 888-364-5977
Mailing address
267 Roma AveRoseville, MN 55113-6723
Phone 612-236-7396
Other practice locations
1965 Ford Pkwy
Saint Paul, MN 55116-1923
Saint Paul, MN 55116-1923
Phone 651-696-5640 · Fax 651-696-5543
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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.
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