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ANNICA COOPER EELLS
NPI 1003494956
Student in an Organized Health Care Education/Training Program in Woodbury, MN

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
217 RADIO DR, WOODBURY, MN 55125(651) 702-0750(651) 645-6166 Get Directions Write a Review

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

Record update history: Aug 25, 2026, Jul 1, 2021, Mar 31, 2021 (3 updates tracked since 2021).

About Annica Cooper Eells NPPES

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

ANNICA COOPER EELLS (NPI 1003494956) is an individual student in an organized health care education/training program in Woodbury, Minnesota, licensed in Minnesota (82189) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Mayo Medical School (2021).

NPPES Registry Identity

NPI1003494956
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNICA COOPER EELLS
Location Address217 RADIO DRWoodbury, MN 55125-5805
Mailing Address215 Radio Dr Ste 202Woodbury, MN 55125-5822 · (651) 702-0750 · Fax (651) 645-6166
Phone(651) 702-0750
Fax(651) 645-6166
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1003494956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MN · 82189
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License R78534 (AZ)
217 RADIO DR, Woodbury, MN 55125
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13460 Promenade AveEagan, MN 55123-4404 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 23590 Arcade StVadnais Heights, MN 55127-7135 · Phone (651) 702-0750 · Fax (651) 645-6166
Location 311020 161st St WLakeville, MN 55044-6507 · Phone (651) 702-0750 · Fax (651) 645-6166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

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

Annica Cooper Eells 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 ID2668874934
PECOS Enrollment IDI20260514002363
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 Annica Eells reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Otolaryngology & Head & Neck Surgery, P.A.
Same address
Otolaryngology
217 RADIO DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Otolaryngology & Head & Neck Surgery PA
  • 37 clinicians in this Medicare group
NPI 1821195959 (651) 702-0750

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

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.

MR. RICHARD G KARLEN MD
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
MR. CHRISTOPHER JOHN TOLAN MD
Otolaryngology (Facial Plastic Surgery)
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
ERIN MARY WYNINGS-KEATY MD
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
DR. JAMIE KATHERINE FLOHR M.D.
Otolaryngology
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
TYLA HUGHES
Physician Assistant (Medical)
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
DAVID PONTIUS PA-C
Physician Assistant
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
THOMAS ASPER
Audiologist
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750
MRS. AMANDA R SALMON AUD CCC A
Audiologist
217 RADIO DR
WOODBURY, MN 55125
Washington County (651) 702-0750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annica Eells's NPI number?

The NPI number for Annica Eells is 1003494956. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Annica Eells located?

Annica Eells practices at 217 Radio Dr, Woodbury, MN 55125. The listed phone number is (651) 702-0750.

What is Annica Eells's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Annica Eells enrolled in Medicare?

Yes. Annica Eells is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Annica Eells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annica Eells reassigns Medicare benefits to Otolaryngology & Head & Neck Surgery, P.A. (Woodbury, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annica Eells's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annica Eells accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Annica Eells as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annica Eells was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.