ELISABETH JEAN MCCLEAN MD
NPI 1003173469
Family Medicine in St Louis Park, MN

Q: What is Elisabeth Mcclean's NPI number?

The NPI number for Elisabeth Mcclean is 1003173469. It was assigned to this individual provider in the NPPES registry on April 23, 2012. The provider is also known as Elisabeth Jean Bloomberg.

Q: What is Elisabeth Mcclean's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisabeth Mcclean was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment

3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 883-1000 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2019, May 17, 2018 (2 updates tracked since 2018).

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About Elisabeth Jean Mcclean Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISABETH JEAN MCCLEAN MD (NPI 1003173469) is an individual family medicine provider in St Louis Park, Minnesota, licensed in Minnesota (56640) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1003173469

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELISABETH JEAN MCCLEANCredential: MD

Location Address3850 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527

Mailing Address3850 Park Nicollet BlvdSt Louis Park, MN 55416-2527 · (952) 883-1000

Phone(952) 883-1000

Sole ProprietorYes

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012

Enumeration DateApril 23, 2012

Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration

✔ NPI 1003173469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 56640

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

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Other Names 1

Former Name (1)Elisabeth Jean Bloomberg

Secondary Practice Location 1

Location 11020 W Broadway AveMinneapolis, MN 55411 · Phone (612) 302-8200 · Fax (612) 302-8275

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elisabeth Jean Mcclean Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113168766

PECOS Enrollment IDI20130725000048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elisabeth Mcclean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital

Same address

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

132 services130 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Debbie ***** November 27, 2025

5/5

Dr. McClean saved my life! She listened to my pleas for help. 5 days earlier i had been seen by a doctor who prescribed an inhaler ( i never mentioned difficulty breathing) and told me to get otc cough medicine, this for a wretched cough this was doing me in (understatement). At 80 yrs of age, this 9 day siege is the sickest i have ever been. Dr. McClean knew exactly what I needed.

Provider 5/5 Office Staff 5/5

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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