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Ellen A Connolly-Eckhoff , CPNP

Nurse Practitioner - Pediatrics • Eagan, MN

Active NPI 1144208075 Individual Practitioner Female Practitioner
Practice location in NPPES

1885 Plaza Dr
Eagan, MN 551222612

Call 9529934001 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1885 Plaza Dr

Eagan, MN 551222612

Telephone 9529934001
Organization at the Same NPPES Address or Phone
Park Nicollet Health Care Products Facility NPI 1659450963

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eagan and Minnesota

3 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Eagan, MN (470 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES MN R 1022090
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
592598300 (MN)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Abigail Bennett , PA-C

Physician Assistant

NPI 1477938058

Physician Assistant (Certified)

Rebecca Benson , PA-C

Physician Assistant - Medical

NPI 1730369539

Physician Assistant (Certified)

Dr. Laura Broder , MD

Internal Medicine

NPI 1881858363

Doctor of Medicine (M.D.)

NPI 1912121237

Doctor of Medicine (M.D.)

Tasha Gastony , PA-C

Physician Assistant

NPI 1235115999

Physician Assistant (Certified)

Rosa Grebin , AGNP-C

Nurse Practitioner

NPI 1013766179

Adult-Gerontology Nurse Practitioner (Certified)

Career & Practice History

NPI enumerated December 30, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1144208075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: March 23, 2020
Sole Proprietor: No

Mailing Address

6465 Wayzata Blvd, Ste 315

St Louis Park, MN 554261728

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.