ELENA LUU
NPI 1558082560
Physician Assistant in Maple Grove, MN

Active since September 07, 2022PECOS Enrolled
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: September 27, 2026.

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

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 and maintains 2 additional practice locations.

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
Fax(763) 201-8192
Sole ProprietorNo
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elena Luu 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.

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 17

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

Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Specialist
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

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 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.

Where is Elena Luu located?

Elena Luu practices at 9645 Grove Cir N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Elena Luu's specialty?

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

Is Elena Luu enrolled in Medicare?

Yes. Elena Luu is registered in the Medicare PECOS enrollment system.

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 2 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.