ELIZABETH ANNE RADKE (PA-C) – Physician Assistant, NPI 1124286901

ELIZABETH ANNE RADKE (PA-C) is a healthcare provider. based in Savage, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1128 (MN). The NPI Number for ELIZABETH ANNE RADKE (PA-C) is 1124286901

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANNE RADKE (PA-C)
NPI
1124286901
Phone
(612) 220-1891
Address
13599 QUENTIN AVE S
Enumeration Date
28 May 2008
Last Update Date
13 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524422191
Graduation Year
2008 (18 years ago)
PAC ID
1052473311
Group Practice PAC ID
9234041997
Professional Enrollment ID
I20081219000379
Address ID
MN553871752WA500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Loading map...

Provider Addresses for ELIZABETH ANNE RADKE (PA-C)

  • 13599, Quentin Avenue South, Savage, Scott County, Minnesota, 55378, United States

    SAVAGE, MN 553781814

    Phone: (612) 220-1891

    Type: Mailing

  • Ridgeview Medical Center, 500, South Maple Street, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553871752

    Phone: (952) 442-2191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2008-12-19

PECOS data refreshed: 2026-05-27

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
I20081219000379IPhysician AssistantMNTBD

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
99284Emergency department visit with moderate level of medical decision making4949$0
99283Emergency department visit with low level of medical decision making2424$0
99285Emergency department visit with high level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 55378)

Loading plans...

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: 9234041997View full group profile
NameSpecialtyState
Family PracticeMN
Internal MedicineMN
Family PracticeMN
-MN
-MN
Physician AssistantMN
Diagnostic RadiologyMN
Marriage And Family TherapistMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm ELIZABETH ANNE RADKE (PA-C)'s NPI?
Yes. ELIZABETH ANNE RADKE (PA-C) is listed with NPI 1124286901 in the public NPI dataset.
Is ELIZABETH ANNE RADKE (PA-C) still practicing?
ELIZABETH ANNE RADKE (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes ELIZABETH ANNE RADKE (PA-C)?
For research purposes, treat ELIZABETH ANNE RADKE (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ELIZABETH ANNE RADKE (PA-C)?
ELIZABETH ANNE RADKE (PA-C)'s geographic hint is Savage, Minnesota in our summary view.
Is the information about ELIZABETH ANNE RADKE (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

TERRY J LARIMER (PA)

Physician Assistant
2925 CHICAGO AVE
NPI: 1508832577

HEATHER KILL (P.A.)

Physician Assistant
4480 CENTERVILLE RD
NPI: 1982656955

ROBYN L KUNKEL (PA-C)

Physician Assistant
6405 France Ave S Ste W200
NPI: 1194767822

SOUAD N BROBBY (PA)

Physician Assistant
200 1st St SW
NPI: 1508800285

STACY MARIE ANDERSON (PA-C)

Physician Assistant
West 143rd Street, Savage, Scott County, Minnesota, 55378, United States
NPI: 1497933170

ANNE L HARTMAN (P.A.-C)

Physician Assistant
15290 Pennock Ln
NPI: 1295999670

ALICIA MARIE SKUPA (PA-C)

Physician Assistant
6350 W 143RD ST STE 200
NPI: 1982946356

KAITLIN AHLSKOG (PA-C)

Physician Assistant
200 1st St SW
NPI: 1649638883

ANNA MARIE MUKARIA (PA-C)

Physician Assistant
6150 EGAN DR
NPI: 1326595091