Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRACE CATHERINE ILLIES PA-C
NPI 1841109865
Physician Assistant in New London, MN

Active since September 04, 2026
17201 73RD ST NE, NEW LONDON, MN 56273(320) 557-5518 Get Directions Write a Review

NPPES record added: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Grace Catherine Illies Pa-c NPPES

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

GRACE CATHERINE ILLIES PA-C (NPI 1841109865) is an individual physician assistant in New London, Minnesota and active in the NPI registry since September 2026. She maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1841109865
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE CATHERINE ILLIESCredential: PA-C
Location Address17201 73RD ST NENew London, MN 56273-9544
Mailing Address17201 73rd St NeNew London, MN 56273-9544
Sole ProprietorNo
Enumeration DateSeptember 4, 2026
NPPES CertifiedSeptember 4, 2026
NPI 1841109865 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.
17201 73RD ST NE, New London, MN 56273

Secondary Practice Location 1

Location 12577 Gunn HwyOdessa, FL 33556-2530 · Phone (320) 557-5518

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 Grace Illies's NPI number?

The NPI number for Grace Illies is 1841109865. It was assigned to this individual provider in the NPPES registry on September 4, 2026.

Where is Grace Illies located?

Grace Illies practices at 17201 73rd St NE, New London, MN 56273. The listed phone number is (320) 557-5518.

What is Grace Illies's specialty?

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

When was this NPI record last updated?

The NPPES record for Grace Illies was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.