ELIZABETH MARIE RADUEGE – Family Medicine Physician, NPI 1073546263

ELIZABETH MARIE RADUEGE is a healthcare provider. based in Hermantown, Minnesota. specializing in FAMILY PRACTICE. They hold a License No. 37217 (MN). The NPI Number for ELIZABETH MARIE RADUEGE is 1073546263

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MARIE RADUEGE
NPI
1073546263
Phone
(218) 786-3540
Address
4855 W ARROWHEAD RD
Enumeration Date
9 July 2006
Last Update Date
12 May 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2187863540
Graduation Year
1993 (33 years ago)
PAC ID
6800895350
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20061211000026
Address ID
MN558113936HE4855XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for ELIZABETH MARIE RADUEGE

  • 4855, West Arrowhead Road, Hermantown, Saint Louis County, Minnesota, 55811, United States

    HERMANTOWN, MN 558113936

    Phone: (218) 786-3540

    Fax: (218) 722-8160

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061211000026IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13398$0
99213Established patient office or other outpatient visit, 20-29 minutes9770$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 55811)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
N E U R O L O G YMN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV

Reviews

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Frequently asked questions

What NPI should I save for ELIZABETH MARIE RADUEGE?
Save NPI 1073546263 if you need a stable reference for ELIZABETH MARIE RADUEGE.
Is ELIZABETH MARIE RADUEGE currently active in the NPI registry?
CMS-published data lists ELIZABETH MARIE RADUEGE as an active registrant.
What kind of provider is ELIZABETH MARIE RADUEGE?
The page reflects Family Medicine Physician for ELIZABETH MARIE RADUEGE. Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH MARIE RADUEGE?
We surface Hermantown, Minnesota for ELIZABETH MARIE RADUEGE based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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