Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Holly Lyne Beaulieu, PA-C

Individual provider Medical Physician Assistant · NPI 1528222197

Miss. Holly Lyne Beaulieu, PA-C is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2008, 18 years ago. Practices with Mngi Digestive Health PA, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
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

1973 Sloan Pl Ste 100
Saint Paul, MN 55117
Phone: (651) 241-5593
Fax: (651) 241-5870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10419 (MN)

Record details

NPI number1528222197
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 14, 2008
Last updated in NPPESAugust 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mngi Digestive Health Pa — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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