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

Noelle Ellis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376805770

Noelle Ellis, MD is a Student in an Organized Health Care Education/Training Program in Rogers, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

13980 Northdale Blvd
Rogers, MN 55374-2147
Phone: (763) 428-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (763) 439-4943

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 113046 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)

Record details

NPI number1376805770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESJuly 21, 2022
Mailing address13980 Northdale Blvd, Rogers, MN 55374-2147

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