Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elissa Chung

Individual provider Physician Assistant · NPI 1104338730

Elissa Chung is a Physician Assistant in Woodbury, Minnesota. Qualified in 2017, 9 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

779 Bielenberg Dr Ste 108
Woodbury, MN 55125-4432
Phone: (763) 231-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104338730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2017
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address820 Springer Dr, Lombard, IL 60148-6413

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodbury