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

Individual provider Physician Assistant · NPI 1124682851

Mary Elizabeth Neill, PA-C is a Physician Assistant in Robbinsdale, Minnesota. Qualified in 2018, 8 years ago. Practices with Edina Sports Health and Wellness, PA, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
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

3366 Oakdale Ave N Ste 103
Robbinsdale, MN 55422-2961
Phone: (763) 520-7870
Fax: (763) 520-7580
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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 12982 (MN)

Record details

NPI number1124682851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESJuly 31, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Edina Sports Health And Wellness, Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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