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

Individual provider Physician Assistant · NPI 1629623525

Rebecca Lenore Ertsgaard, PA-C is a Physician Assistant in Blaine, Minnesota. Qualified in 2019, 7 years ago. Practices with Noran Neurological Clinic, PA, a 54-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
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

11091 Ulysses St NE Ste 100
Blaine, MN 55434-4238
Phone: (612) 879-1000
Fax: (612) 879-0722
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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 13052 (MN)

Record details

NPI number1629623525
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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 Noran Neurological Clinic, P.A. — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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