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

ELLE ELIZABETH PETERSEN PA-C
NPI 1164240446
Physician Assistant - Medical in Minneapolis, MN

Active since September 26, 2024
920 E 28TH ST STE 300, MINNEAPOLIS, MN 55407(612) 863-3900 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Sep 26, 2024 (2 updates tracked since 2024).

About Elle Elizabeth Petersen Pa-c NPPES

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

ELLE ELIZABETH PETERSEN PA-C (NPI 1164240446) is an individual medical provider in Minneapolis, Minnesota and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1164240446
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELLE ELIZABETH PETERSENCredential: PA-C
Location Address920 E 28TH ST STE 300Minneapolis, MN 55407-1195
Mailing Address920 E 28th St Ste 300Minneapolis, MN 55407-1195 · (612) 863-3900
Phone(612) 863-3900
Sole ProprietorNo
Enumeration DateSeptember 26, 2024
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1164240446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
920 E 28TH ST STE 300, Minneapolis, MN 55407
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Other Providers at the Same Location NPPES 9

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

AMR IDRIS M.D.
Internal Medicine (Cardiovascular Disease)
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-1681
ANDREW MARK PATTOCK MD
Internal Medicine (Cardiovascular Disease)
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-3792
JASON Q. ALEXANDER MD
Surgery (Vascular Surgery)
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6800
CHRISTOPHER PEDERSEN MD
Surgery (Vascular Surgery)
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-3900
MELISSA L. WEBSTER APRN, CNP
Nurse Practitioner
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 262-4719
DR. SENTHIL NATHAN JAYARAJAN MD
Surgery (Vascular Surgery)
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6800
MRS. LEAH J L WOJCIECHOWSKI P.A.-C
Physician Assistant
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-3900
DR. JOSEPH KARAM M.D.
Surgery (Vascular Surgery)
920 E 28TH ST STE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6800

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 Elle Petersen's NPI number?

The NPI number for Elle Petersen is 1164240446. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Elle Petersen located?

Elle Petersen practices at 920 E 28th St Ste 300, Minneapolis, MN 55407. The listed phone number is (612) 863-3900.

What is Elle Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Elle Petersen was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.