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

Mrs. Elise Nicole Lill, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1730619487

Mrs. Elise Nicole Lill, PHYSICIANASSISTANT is a Physician Assistant in Bloomington, Minnesota. Graduated from Wake Forest University School of Medicine in 2017, 9 years ago. Practices with Emergency Physicians Professional Association, a 271-clinician group and accepts Medicare assignment.

Years since qualifying
9
Trained at
Wake Forest University School of Medicine
In the registry since
2017
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Practice location Address checks out

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435
Phone: (952) 835-9880
Fax: (952) 857-1554
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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 number1730619487
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESJuly 21, 2022
Certification dateApril 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Emergency Physicians Professional Association — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bloomington