ALICIA ELIASON (RN, CNP) – Nurse Practitioner, NPI 1215324520

ALICIA ELIASON (RN, CNP) is a healthcare provider. based in Marshall, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CNP. They hold a License No. R 197491-5 (MN). The NPI Number for ALICIA ELIASON (RN, CNP) is 1215324520

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA ELIASON (RN, CNP)
NPI
1215324520
Phone
Not provided
Address
607 W MAIN ST
Enumeration Date
24 April 2015
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076372985
Graduation Year
2020 (6 years ago)
PAC ID
2264972868
Group Practice PAC ID
7911259619
Professional Enrollment ID
I20240910003079
Address ID
MN562832624RE101XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ALICIA ELIASON (RN, CNP)

  • 607 W MAIN ST

    STE. 200

    MARSHALL, MN 562583169

    Phone:

    Type: Mailing

  • 101 CARING WAY

    REDWOOD FALLS, MN 562832624

    Phone: (507) 637-4500

    Type: Mailing

  • 607 W Main St

    Ste. 200

    Marshall, MN 562583169

    Phone: (507) 532-1332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Kerecis Limited ($44).

Total Amount

$64

General + Research + Ownership

Payments

2

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-10

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
I20240910003079INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56258)

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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: 7911259619View full group profile
NameSpecialtyState
Nurse PractitionerMN
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMN
Family PracticeMN
-MN
Family Practice, Emergency MedicineSD
Nurse PractitionerMN
-MN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What unique ID ties claims to ALICIA ELIASON (RN, CNP)?
NPI 1215324520 is assigned to ALICIA ELIASON (RN, CNP) under the national enumeration system.
Is ALICIA ELIASON (RN, CNP) active in the national directory?
ALICIA ELIASON (RN, CNP)'s public NPI profile is in an active state.
What kind of provider is ALICIA ELIASON (RN, CNP)?
The page reflects Nurse Practitioner for ALICIA ELIASON (RN, CNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for ALICIA ELIASON (RN, CNP)?
The page summarizes Marshall, Minnesota for ALICIA ELIASON (RN, CNP); expand the address list for detail.
What if Marshall, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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