ELENA LUU
NPI 1558082560
Physician Assistant in Maple Grove, MN

Q: What is Elena Luu's NPI number?

The NPI number for Elena Luu is 1558082560. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Q: What is Elena Luu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elena Luu was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 07, 2022PECOS EnrolledAccepts Medicare Assignment

9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 201-8191(763) 201-8192 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Sep 7, 2022 (2 updates tracked since 2022).

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About Elena Luu NPPES

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

ELENA LUU (NPI 1558082560) is an individual physician assistant in Maple Grove, Minnesota and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558082560

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELENA LUU

Location Address9645 GROVE CIR N STE 200Maple Grove, MN 55369-2684

Mailing Address9645 Grove Cir N Ste 200Maple Grove, MN 55369-2684 · (763) 201-8191 · Fax (763) 201-8192

Phone(763) 201-8191

Fax(763) 201-8192

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 7, 2022

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1558082560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9645 GROVE CIR N STE 200, Maple Grove, MN 55369

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Secondary Practice Locations 2

Location 11856 Beam Ave Ste 100Maplewood, MN 55109-1162 · Phone (763) 201-8191

Location 22800 County Road 42 WBurnsville, MN 55337-6933 · Phone (763) 201-8191

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elena Luu 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 ID7517428584

PECOS Enrollment IDI20260910000510

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

RONALD B BOEDING MD

Anesthesiology (Pain Medicine)