Rebecca Etler
Physician Assistant in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1821799701
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1821799701
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Etler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2023
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
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 | 15355 | MN | Yes |
| 363A00000X | Physician Assistant | 127686 | IA |
Practice location
7532 Brooklyn Park BlvdBrooklyn Park, MN 55443
Phone 877-859-0542
Mailing address
4220 Wilson AveDes Moines, IA 50317-2869
Phone 515-423-8015
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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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All 16 Physician Assistant providers in Brooklyn Park · All 1,366 providers in Brooklyn Park
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