Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Agatha J Ottem Lill, PA-C

Individual provider Physician Assistant · NPI 1093236267

Agatha J Ottem Lill, PA-C is a Physician Assistant in Grand Forks, North Dakota. Graduated from University of North Dakota School of Medicine in 2017, 9 years ago. Practices with Altru Health System, a 667-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
9
Trained at
University of North Dakota School of Medicine
Licensed in
MN, ND
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1750 47th Ave S
Grand Forks, ND 58201-7595
Phone: (701) 757-8700
Fax: (701) 234-1147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 621 Demers Ave, East Grand Forks, MN 56721-1812 — (218) 773-5857
  • 625 Demers Ave, East Grand Forks, MN 56721-1833 — (218) 733-5858
  • 3035 Demers Ave, Grand Forks, ND 58201-4040 — (701) 746-7521
  • 4440 S Washington St, Grand Forks, ND 58201-7245 — (701) 732-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0689 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 12712 (MN)

Record details

NPI number1093236267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Grand Forks