Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417707563 Individual Practitioner Female Practitioner

Ellen Gustafson

Physician Assistant • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ellen Gustafson is a certified Physician Assistant practicing in Minneapolis, MN. With approximately 3 years of clinical experience since completing medical education in 2023, Ellen Gustafson delivers high-quality medical care to the local community at 701 PARK AVE.

Ellen Gustafson is affiliated with Hennepin Healthcare System Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

701 Park Ave

Minneapolis, MN 554151623

Telephone 6128736963
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minneapolis, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
502 Specialists

Practicing in Minneapolis, MN (4026 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustafson (3 Years) 3 Yrs
Minneapolis Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 14847

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Hennepin Healthcare System Inc

701 Park Ave, Minneapolis, MN 554151623

Hennepin Healthcare System Inc

701 Park Ave, Minneapolis, MN 554151623

Phone: 6128736963

Practice Associates & Co-Workers

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

40 Associated Practitioners
Sarah Johnson , RD LD

Dietitian, Registered

NPI 1003226416

RDLD

Dr. Kristi White , PhD, LP

Psychologist - Clinical

NPI 1003252842

Doctor of Philosophy (Ph.D.), Licensed Psychologist

NPI 1003270489

Doctor of Medicine (M.D.)

Kylie Jackson , RN

Registered Nurse - Emergency

NPI 1003622580

Registered Nurse

NPI 1003851155

Doctor of Medicine (M.D.)

Aimee Tritt , RD, LD

Dietitian, Registered

NPI 1013307909

Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 04, 2024

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128736963)

📍
Updated Business Mailing Address June 04, 2024

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128733000)

NPI Profile Active March 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2024

Registered at 900 S 8TH ST, MINNEAPOLIS, MN 554041292 (Tel: 6128733000)

📍
Updated Business Mailing Address March 22, 2024

Registered at 3922 THAMES AVE, EAGAN, MN 551233905

👤
Provider Name / Credentials Updated March 22, 2024

Recorded as ELLEN GUSTAFSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2024

Physician Assistant (License #14847 in MN)

🟢
Initial NPI Registration & Enumeration March 22, 2024

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: 1417707563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2024
Last Update: June 04, 2024
Sole Proprietor: No

Mailing Address

701 Park Ave

Minneapolis, MN 554151623

Phone: 6128733000

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.