NPIMap

Individual provider Active NPI

Timothy Paul McDonald, PA C

  • Physician Assistant
  • Bloomington, MN
National Provider Identifier
1194798900
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10053 Issued in MN
Practice address
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone
(952) 835-9880
Fax
(952) 835-4403
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10053 MN Primary

Addresses

Primary practice location

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435

Mailing address

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000929 MN Practitioner - Physician Assistant 8426019480 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Advocate Urgent Care PLLCGroup PAC ID 4880043082, 18 clinicians
MN UC Providers LTDGroup PAC ID 8729461421, 14 clinicians

Practice addresses (Care Compare)

11091 Jason Ave NE
Suite 300
Albertville, MN 55301-4699
Phone (763) 260-4750

12643 Fremont Ave
Zimmerman, MN 55398-9755
Phone (218) 838-9355

415 17TH Ave N
Suite 100
Hopkins, MN 55343-7226
Phone (952) 931-1276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17428CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
MN UC Providers LTD CurrentSince Sep 11, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Mar 1, 2018 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Welia Health CurrentSince Jun 6, 2025 Accepting new patients
Welia Health Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Nov 16, 2016 Accepting new patients
MN UC Providers LTD CurrentSince Nov 21, 2021 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Mar 6, 2012 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Nov 16, 2016 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Centracare Health System Past Accepting new patients
Mille Lacs Health System Past Accepting new patients

Locations

1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384

13205 Isle Dr
Baxter, MN 56425
Phone (218) 454-7600

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

620 Sandy Ln
Hinckley, MN 55037
Phone (320) 384-6189

415 17th Ave N
Ste 100
Hopkins, MN 55343
Phone (952) 931-1276

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

1425 Main St N
Pine City, MN 55063
Phone (320) 322-5141

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

Interoperability endpoints

  • Direct secure messaging: tmcdonald807@direct.centracare.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1194798900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARKETPOINTE DR STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-835-9880",
            "fax_number": "952-835-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARKETPOINTE DR STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-835-9880",
            "fax_number": "952-835-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.