ELLEN DE VRIES
NPI 1902880735
Pediatrics in Burnsville, MN
About Ellen De Vries NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN DE VRIES (NPI 1902880735) is an individual pediatrics provider in Burnsville, Minnesota, licensed in Minnesota (31602) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen De Vries is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen De Vries reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ellen De Vries's NPI number?
The NPI number for Ellen De Vries is 1902880735. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Ellen De Vries located?
Ellen De Vries practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8700.
What is Ellen De Vries's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ellen De Vries enrolled in Medicare?
Yes. Ellen De Vries is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen De Vries's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen De Vries reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen De Vries's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen De Vries accept?
Health plans from HealthPartners list Ellen De Vries as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ellen De Vries was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Ellen De Vries · NPI 1902880735
Pediatrics physician in Burnsville, Minnesota. Individual provider, active in the CMS NPPES registry since December 5, 2005.
## Identity
- **NPI:** 1902880735 (Entity type: Individual)
- **Enumerated:** December 5, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 31602 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14000 FAIRVIEW DR, Burnsville, MN 55337-5713
- **Phone:** (952) 993-8700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1902880735) · Data from the CMS NPPES public registry.