ELISABETH S JENKINS (PA-C) – Physician Assistant, NPI 1588130702

ELISABETH S JENKINS (PA-C) is a healthcare provider. based in Crosby, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12818 (MN). The NPI Number for ELISABETH S JENKINS (PA-C) is 1588130702

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ELISABETH S JENKINS (PA-C)
NPI
1588130702
Phone
(218) 546-7000
Address
320 E MAIN ST
Enumeration Date
15 October 2018
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
5193060317
Group Practice PAC ID
9537146550
Professional Enrollment ID
I20181217001744
Address ID
MN564411645Cr320XXSTXX400

Contacts

Secure Messaging
edesrocher409485@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for ELISABETH S JENKINS (PA-C)

  • Cuyuna Regional Medical Center, 320, East Main Street, Towns Edge Mobile Home Park, Crosby, Crow Wing County, Minnesota, 56441, United States

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-02-16 • Largest payer in this snapshot: Abbott Laboratories ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$22
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: 2018-12-17

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
I20181217001744IPhysician 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.

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

Insurance plans in this area (ZIP 56441)

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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: 9537146550View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)IN
H O S P I T A L I S TMN
Nurse PractitionerMN
Internal Medicine, Hospitalist, Internal MedicineFL
Family PracticeMN

Reviews

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Frequently asked questions

What unique ID ties claims to ELISABETH S JENKINS (PA-C)?
NPI 1588130702 is assigned to ELISABETH S JENKINS (PA-C) under the national enumeration system.
Is ELISABETH S JENKINS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ELISABETH S JENKINS (PA-C)?
The page reflects Physician Assistant for ELISABETH S JENKINS (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for ELISABETH S JENKINS (PA-C)?
We surface Crosby, Minnesota for ELISABETH S JENKINS (PA-C) based on available NPPES addresses.
Is ELISABETH S JENKINS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1588130702. Always confirm identity and privileges with the practice and licensing boards.

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