Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: 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 7 days 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 March 31, 2021PECOS Enrolled

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: August 30, 2026.

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

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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

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Secondary Practice Locations 3

Location 111020 161st St WLakeville, MN 55044-6507 · Phone (651) 702-0750 · Fax (651) 645-6166

Location 23460 Promenade AveEagan, MN 55123-4404 · Phone (651) 702-0750 · Fax (651) 645-6166

Location 33590 Arcade StVadnais Heights, MN 55127-7135 · Phone (651) 702-0750 · Fax (651) 645-6166

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annica Cooper Eells is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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