ELIZABETH ANN PESEK MD
NPI 1104082411
Obstetrics & Gynecology in Lilydale, MN
About Elizabeth Ann Pesek Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ANN PESEK MD (NPI 1104082411) is an individual obstetrics & gynecology provider in Lilydale, Minnesota, licensed in Minnesota (52858) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Creighton University School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Elizabeth Ann Pesek 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.
Medicare Billing Reassignments
2Medicare enrollment records show Elizabeth Pesek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West St Paul, MN 55118
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LILYDALE, MN 55118
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 Elizabeth Pesek's NPI number?
The NPI number for Elizabeth Pesek is 1104082411. It was assigned to this individual provider in the NPPES registry on August 6, 2008.
Where is Elizabeth Pesek located?
Elizabeth Pesek practices at 971 Sibley Memorial Hwy Ste 350, Lilydale, MN 55118. The listed phone number is (651) 770-3320.
What is Elizabeth Pesek's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Elizabeth Pesek enrolled in Medicare?
Yes. Elizabeth Pesek 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 organizations bill Medicare for Elizabeth Pesek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Pesek reassigns Medicare benefits to 2 organizations: Allina Health System (West St Paul, MN) and Premier Obgyn Of Minnesota PLLC (Edina, MN). Each 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 Elizabeth Pesek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Pesek accept?
Health plans from HealthPartners list Elizabeth Pesek 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.
Is Elizabeth Pesek affiliated with any hospitals?
According to CMS data, Elizabeth Pesek is affiliated with M Health Fairview University Of Mn and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Elizabeth Pesek was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Elizabeth Ann Pesek, MD · NPI 1104082411
Obstetrics & Gynecology physician in Lilydale, Minnesota. Individual provider, active in the CMS NPPES registry since August 6, 2008.
## Identity
- **NPI:** 1104082411 (Entity type: Individual)
- **Enumerated:** August 6, 2008
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 52858 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 971 SIBLEY MEMORIAL HWY STE 350, Lilydale, MN 55118-2856
- **Phone:** (651) 770-3320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1144526898, West St Paul, MN); Premier Obgyn Of Minnesota PLLC (NPI 1801946223, Edina, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104082411) · Data from the CMS NPPES public registry.