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ELICIA FAITH DEMBELE NP
NPI 1669278453
Nurse Practitioner - Family in Edina, MN

Active since February 21, 2025PECOS EnrolledAccepts Medicare Assignment
6905 YORK AVE S, EDINA, MN 55435(651) 707-5536 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Feb 21, 2025 (2 updates tracked since 2025).

About Elicia Faith Dembele Np NPPES

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

ELICIA FAITH DEMBELE NP (NPI 1669278453) is an individual family provider in Edina, Minnesota, licensed in Minnesota (12402) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669278453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELICIA FAITH DEMBELECredential: NP
Location Address6905 YORK AVE SEdina, MN 55435-2517
Mailing Address8313 9th St NOakdale, MN 55128-5393
Phone(651) 707-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2025
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1669278453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 12402
6905 YORK AVE S, Edina, MN 55435
Open in Google Maps ↗

Other Names 1

Former Name (1)Elicia Faith Swanson

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

Elicia Faith Dembele Np 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 ID244754422
PECOS Enrollment IDI20250409001542
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 55435 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 8

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

DR. PALKYI LHAMO TAYTHI
Nurse Practitioner (Family)
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (952) 920-0126
MRS. DERVIE CRESPO NP
Nurse Practitioner (Family)
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (866) 389-2727
MICHELLE SHORTEN
Pharmacist
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (952) 920-0126
VI SIIRO
Nurse Practitioner
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (866) 389-2727
DOUG DLOUHY PHARMD
Pharmacist
6905 YORK AVE S
MINNEAPOLIS, MN 55435
Hennepin County (952) 920-0126
KIMBERLY KOPITZKE RN, CNP
Nurse Practitioner (Family)
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (952) 920-0126
ELIZABETH TAKYI
Nurse Practitioner (Family)
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (952) 920-0126
KAITLIN M KEENEY
Nurse Practitioner (Family)
6905 YORK AVE S
EDINA, MN 55435
Hennepin County (866) 389-2727

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 Elicia Dembele's NPI number?

The NPI number for Elicia Dembele is 1669278453. It was assigned to this individual provider in the NPPES registry on February 21, 2025. The provider is also known as Elicia Faith Swanson.

Where is Elicia Dembele located?

Elicia Dembele practices at 6905 York Ave S, Edina, MN 55435. The listed phone number is (651) 707-5536.

What is Elicia Dembele's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elicia Dembele enrolled in Medicare?

Yes. Elicia Dembele 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.

When was this NPI record last updated?

The NPPES record for Elicia Dembele was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.