ELISE HEITKAMP DWYER PA-C
NPI 1396180378
Physician Assistant - Medical in Minneapolis, MN

Q: What is Elise Dwyer's NPI number?

The NPI number for Elise Dwyer is 1396180378. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Q: What is Elise Dwyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elise Dwyer was last updated on July 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 06, 2013PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 365-1000 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Elise Heitkamp Dwyer Pa-c NPPES

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

ELISE HEITKAMP DWYER PA-C (NPI 1396180378) is an individual medical provider in Minneapolis, Minnesota, licensed in Minnesota (1892) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396180378

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELISE HEITKAMP DWYERCredential: PA-C

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address6439 Vincent Ave SRichfield, MN 55423-1027 · (763) 744-8981

Phone(612) 365-1000

Sole ProprietorNo

Enumeration DateMay 6, 2013

Last NPPES UpdateJuly 30, 2014

✔ NPI 1396180378 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

License✔ Licensed in MN · 1892

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Heitkamp Dwyer Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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