Active NPI 1144208075 Individual Practitioner Female Practitioner

Ellen A Connolly-Eckhoff , CPNP

Nurse Practitioner - Pediatrics • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Ellen Connolly-Eckhoff, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Eagan, MN. Practice services are available at 1885 PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1885 Plaza Dr

Eagan, MN 551222612

Telephone 9529934001

Associated Practice Facility / Clinic

🏢 Park Nicollet Health Care Products Facility NPI 1659450963

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Eagan, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Eagan, MN (480 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-23

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN R 1022090

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

592598300 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners

Jeffrey Mohr , PA-C

Physician Assistant - Medical

NPI 1013271378

Physician Assistant (Certified)

Rosa Grebin , AGNP-C

Nurse Practitioner

NPI 1013766179

Adult-Gerontology Nurse Practitioner (Certified)

Jori Shore

Nurse Practitioner - Family

NPI 1013994532

Mary Tolsma , PA

Physician Assistant

NPI 1023425402

Physician Assistant

Clare Macdonald-Sexton , LICSW

Social Worker - Clinical

NPI 1043443500

Licensed Independent Clinical Social Worker

John Edwards

Obstetrics & Gynecology

NPI 1093790453

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1885 PLAZA DR, EAGAN, MN 551222612 (Tel: 9529934001)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 554261728

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN CONNOLLY-ECKHOFF, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #R 1022090 in MN)

🟢

Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144208075

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 30, 2005

Last Update: March 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6465 Wayzata Blvd, Ste 315

St Louis Park, MN 554261728

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.