Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen M Edison, PA-C

Individual provider Physician Assistant · NPI 1588221311

Ellen M Edison, PA-C is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2019, 7 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
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

11850 Blackfoot St NW Ste 130
Coon Rapids, MN 55433-2583
Phone: (763) 236-9000
Fax: (763) 236-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492 — (763) 520-7870

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13055 (MN)
Physician Assistant Taxonomy 363A00000X (MN)

Record details

NPI number1588221311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coon Rapids