ELISE MARIE HERRO – Physician Assistant, NPI 1871240168

ELISE MARIE HERRO is a healthcare provider. based in Maplewood, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold a License No. 14184 (MN). The NPI Number for ELISE MARIE HERRO is 1871240168

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ELISE MARIE HERRO
NPI
1871240168
Phone
(612) 444-3247
Address
2480 White Bear Ave N Ste 104
Enumeration Date
7 March 2022
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124443247
Graduation Year
2022 (4 years ago)
PAC ID
4284009374
Group Practice PAC ID
1456575695
Professional Enrollment ID
I20230403001130
Address ID
MN551094568MA2480XNXXX501

Contacts

Secure Messaging
eherro762212@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for ELISE MARIE HERRO

  • 2480 White Bear Ave N Ste 104

    Maplewood, MN 551094568

    Phone: (612) 444-3247

    Fax: (612) 888-9247

    Type: Location

  • 507 N 17TH STREET

    MILWAUKEE, WI 53233

    Phone:

    Type: Mailing

  • 2480 WHITE BEAR AVE N STE 104

    MAPLEWOOD, MN 551094568

    Phone: (612) 444-3247

    Fax: (612) 888-9247

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (952) 835-1311

    Fax: (952) 428-0099

    Type: Mailing

  • 7373 FRANCE AVE S STE 202

    EDINA, MN 554354551

    Phone: (952) 835-1311

    Fax: (952) 428-0099

    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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-01-31 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($24).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-31

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: 2023-04-03

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
I20230403001130IPhysician 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
95004Test for allergy using allergenic extract47313$0
95165Professional service for preparation and provision of 1 or more antigens38413$0
99214Established patient office or other outpatient visit, 30-39 minutes2724$0
View full utilization report →

Insurance plans in this area (ZIP 55109)

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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: 1456575695View full group profile
NameSpecialtyState
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN
-MN
Physician AssistantMN

Reviews

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Frequently asked questions

What is the registry number for ELISE MARIE HERRO?
The registry entry for ELISE MARIE HERRO shows NPI 1871240168.
Should I treat ELISE MARIE HERRO as an active provider?
Patients and plans typically see ELISE MARIE HERRO as active in the national extract.
What type of care does ELISE MARIE HERRO provide?
ELISE MARIE HERRO's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to ELISE MARIE HERRO?
The directory associates ELISE MARIE HERRO with Maplewood, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export ELISE MARIE HERRO's record?
You can download the official NPPES record; we summarize key fields for readability.

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