ELI SEDO – Psychiatric/Mental Health Nurse Practitioner, NPI 1912566530

ELI SEDO is a healthcare provider. based in Albert lea, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 2455792 (MN). The NPI Number for ELI SEDO is 1912566530

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ELI SEDO
NPI
1912566530
Phone
(701) 213-7123
Address
1440 SPARTAN AVE
Enumeration Date
7 June 2019
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7637673350
Graduation Year
2022 (4 years ago)
PAC ID
2567818560
Group Practice PAC ID
6406752492
Professional Enrollment ID
I20231027000513
Address ID
MN554332638CO11660NWXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for ELI SEDO

  • 1440, Spartan Avenue, Albert Lea, Freeborn County, Minnesota, 56007, United States

    ALBERT LEA, MN 560071328

    Phone: (701) 213-7123

    Type: Location

  • 11660 ROUND LAKE BLVD NW

    COON RAPIDS, MN 554332638

    Phone: (763) 767-3350

    Fax: (763) 767-0912

    Type: Location

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2023-10-27

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
I20231027000513INurse 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 56007)

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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: 6406752492View full group profile
NameSpecialtyState
-GA
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELI SEDO?
ELI SEDO — NPI 1912566530 — is the standard way to identify this listing.
Does CMS list ELI SEDO as active?
Yes — ELI SEDO is active in the NPI listing used on this page.
What is ELI SEDO best known for clinically?
Directory data describes ELI SEDO with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does ELI SEDO serve?
ELI SEDO's listing highlights Albert Lea, Minnesota; more addresses can appear in NPPES.
Is the information about ELI SEDO up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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