NPIMap

Individual provider Active NPI

Britta Lee Carlson, PAC

  • Surgical Physician Assistant
  • Roseville, MN
National Provider Identifier
1295138931
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
11629 Issued in MN
Practice address
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Phone
(651) 292-2000
Fax
(651) 439-0232
NPI assigned
Oct 8, 2014
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3455-23 WI
Surgical Physician Assistant 363AS0400X 11629 MN Primary

Addresses

Primary practice location

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113

Mailing address

2355 Hwy 36 W. Ste. 100
Roseville, MN 55113
Phone (651) 292-2000

Other names 1

  • Britta Lee Petersen Former name

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
I20141124001003 MN Practitioner - Physician Assistant 6709108053 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians

Practice addresses (Care Compare)

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 292-2000

640 Jackson St
Saint Paul, MN 55101-2502
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

Merit-based Incentive Payment System (MIPS)

Final score
91.56 of 100Reported as group
Quality
90.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11629MNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Jan 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Jan 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Jan 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System Past Accepting new patients
Consulting Radiologists, LTD Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

11850 Blackfoot St NW
Ste 300
Minneapolis, MN 55433
Phone (763) 236-0808

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

Organizations & group practices 22

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 22

Hospital & facility affiliations 8

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1295138931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W. STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W.",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-292-2000",
            "fax_number": "651-439-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRITTA",
        "middle_name": "LEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "3455-23",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "11629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTA",
            "last_name": "PETERSEN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.