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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELISE GABRIELLE ROXAS PA-C
NPI 1962229302
Physician Assistant - Surgical in Minneapolis, MN

Active since September 25, 2024PECOS Enrolled
715 S 8TH ST, MINNEAPOLIS, MN 55404(612) 873-6963 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Sep 25, 2024 (2 updates tracked since 2024).

About Elise Gabrielle Roxas Pa-c NPPES

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

ELISE GABRIELLE ROXAS PA-C (NPI 1962229302) is an individual surgical provider in Minneapolis, Minnesota, licensed in Minnesota (15909) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962229302
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELISE GABRIELLE ROXASCredential: PA-C
Location Address715 S 8TH STMinneapolis, MN 55404-7530
Mailing Address715 S 8th StMinneapolis, MN 55404-7530
Phone(612) 873-6963
Sole ProprietorNo
Enumeration DateSeptember 25, 2024
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1962229302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 15909
715 S 8TH ST, Minneapolis, MN 55404
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Gabrielle Roxas Pa-c 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.

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.

SARAH E JOHNSON RD LD
Dietitian, Registered
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
ANISHA RIMAL M.D.
Pediatrics
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
KYLIE MARIE JACKSON RN
Registered Nurse (Emergency)
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
DR. DIANA B CUTTS MD
Pediatrics
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
AIMEE M TRITT RD, LD
Dietitian, Registered
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
REGAN M TRUTTSCHEL PHARMD
Pharmacist (Pharmacotherapy)
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
KIMBERLY J WOOD RD
Dietitian, Registered
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6800
LOUIS PHILLIP KOHL III MD
Internal Medicine (Interventional Cardiology)
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963

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 Elise Roxas's NPI number?

The NPI number for Elise Roxas is 1962229302. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Elise Roxas located?

Elise Roxas practices at 715 S 8th St, Minneapolis, MN 55404. The listed phone number is (612) 873-6963.

What is Elise Roxas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elise Roxas enrolled in Medicare?

Yes. Elise Roxas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Roxas was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.