Individual provider Active NPI

Karl T Nelsen, P.A.

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1194924068
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jul 20, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000546 MN Practitioner - Physician Assistant 9638251986 Reassigns benefits to 10 organizations

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 SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
91.63 of 100Reported as group
Quality
90.16
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
95
Improvement activities
40
Cost
82.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Mar 14, 2020 Accepting new patients
Allina Health System CurrentSince Feb 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2022 Accepting new patients
Fairview Health Services CurrentSince Mar 14, 2020 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System CurrentSince Feb 1, 2025 Accepting new patients
Allina Health System CurrentSince Feb 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Mar 14, 2020 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.

View all 21

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.