Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elena Rose Cowen Bantle, PA-C

Individual provider Physician Assistant · NPI 1487318911

Elena Rose Cowen Bantle, PA-C is a Physician Assistant in Duluth, Minnesota. Qualified in 2022, 4 years ago. Practices with Polinsky Medical Rehabilitation Center, a 380-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2021
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

211 S Boundary Ave
Duluth, MN 55810-2306
Phone: (218) 576-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14385 (MN)

Record details

NPI number1487318911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2021
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Polinsky Medical Rehabilitation Center — 380 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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