Active NPI
Karl T Nelsen, P.A.
- Physician Assistant
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2355 Highway 36 W
Ste 100
Roseville, MN 55113-3905 - Phone
- (512) 922-0000
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2355 Highway 36 W
Ste 100
Roseville, MN 55113-3905
Mailing address
2355 Highway 36 W
Ste 100
Roseville, MN 55113-3905
Phone (512) 922-0000
Other practice location 1
4801 W 81st St
Suite 108
Bloomington, MN 55437-1111
Phone (952) 837-9700
Other practice location 2
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155
Other practice location 3
250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
14655 Galaxie Ave
Apple Valley, MN 55124-8602
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 292-2000
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (651) 292-2000
2925 Chicago Ave
Minneapolis, MN 55407-1321
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 292-2000
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 292-2000
6401 France Ave S
Edina, MN 55435-2104
Phone (651) 292-2000
8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155
911 Northland Dr
Princeton, MN 55371-2172
Phone (651) 292-2000
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
- Fairview Lakes Health Services
- Fairview Northland Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.63 of 100
- Quality
- 90.16
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.17 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 82.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Consulting Radiologists, LTD | Past | Accepting new patients | |
| Sports and Orthopaedic Specialists, PA | Past | Accepting new patients | |
| Excel Physical Therapy Inc | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations (25 of 53)
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
6001 96th Ln N
Ste 100
Brooklyn Park, MN 55445
755 Crossroads Campus Dr NE
Buffalo, MN 55313
Phone (763) 684-6300
755 Crossroads Campus Dr NE
Ste 100
Buffalo, MN 55313
Phone (763) 684-6300
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333
11269 Jefferson Hwy N
Champlin, MN 55316
Phone (763) 236-0600
110 Olsen Blvd NE
Cokato, MN 55321
Phone (320) 286-2123
3960 Coon Rapids Blvd NW
Ste 200
Coon Rapids, MN 55433
Phone (763) 236-9236
8611 W Point Douglas Rd S
Cottage Grove, MN 55016
Phone (651) 458-1884
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
14181 Business Center Dr NW
Elk River, MN 55330
Phone (763) 236-0500
1540 Lake St S
Forest Lake, MN 55025
Phone (651) 464-7100
1240 Osborne Rd NE
Fridley, MN 55432
Phone (612) 775-2345
1285 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4200
1880 N Frontage Rd
Hastings, MN 55033
Phone (651) 438-1800
7840 Vinewood Ln N
Maple Grove, MN 55369
Phone (763) 236-0200
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
2800 Chicago Ave
Ste 400
Minneapolis, MN 55407
Phone (612) 863-3110
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997
8100 W 78th St
Ste 230
Minneapolis, MN 55439
Phone (952) 248-5970
9300 Noble Pkwy N
Minneapolis, MN 55443
Phone (763) 236-5300
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
-
- Radiology Clinic/Center
- Roseville, MN
- NPI 1427008937
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Rural Health Clinic/Center
- Madison, MN
- NPI 1144266156
-
- Critical Access Hospital
- Madison, MN
- NPI 1942246848
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
dba Allina Health Richfield Clinic
- Family Medicine Physician
- Richfield, MN
- NPI 1306142054
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
dba Fairview Ridges Hospital
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
dba Fairview Southdale Hospital
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Princeton, MN
- NPI 1841351749
-
dba Fairview Northland Hospital
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1194924068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W",
"address_2": "STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "512-922-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W",
"address_2": "STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "512-922-0000"
}
],
"practiceLocations": [
{
"address_1": "4801 W 81st St",
"address_2": "Suite 108",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554371111",
"country_code": "US",
"telephone_number": "952-837-9700",
"fax_number": "952-837-9701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9055 Springbrook Dr NW",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554335841",
"country_code": "US",
"telephone_number": "763-780-9155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Thompson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022370",
"country_code": "US",
"telephone_number": "651-292-2000",
"fax_number": "651-292-2136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSEN",
"first_name": "KARL",
"middle_name": "T",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.