Individual provider Active NPI

Nels D Leafblad, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • White Bear Lake, MN
National Provider Identifier
1457715955
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
62570 Issued in MN
Practice address
1430 Highway 96 E
White Bear Lake, MN 55110-3653
Phone
(651) 653-2100
Fax
(651) 653-2125
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 62570 MN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 62570 MN Primary

Addresses

Primary practice location

1430 Highway 96 E
White Bear Lake, MN 55110-3653

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice location 1

155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742

Other practice location 2

3545 Highway 61 N
Vadnais Heights, MN 55110-5223
Phone (651) 439-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170821002067 MN Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8224321351 Reassigns benefits to 2 organizations
I20221123002893 WI Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8224321351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians

Practice addresses (Care Compare)

14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Phone (651) 767-1900

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (952) 831-8742

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066
  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Nov 26, 2025 Accepting new patients
Group Health, Inc. CurrentSince Nov 26, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Feb 3, 2026 Accepting new patients
Tria Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Feb 2, 2026 Accepting new patients
Hudson Hospital, Inc. CurrentSince Feb 3, 2026 Accepting new patients
Group Health, Inc. Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

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

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1430 Highway 96 E
White Bear Lake, MN 55110
Phone (651) 426-9502

155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

Interoperability endpoints

  • Direct secure messaging: nleafblad754511@direct.ochin.org

Organizations & group practices 7

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.

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1457715955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HIGHWAY 96 E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103653",
            "telephone_number": "651-653-2100",
            "fax_number": "651-653-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Radio Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252619",
            "country_code": "US",
            "telephone_number": "952-831-8742",
            "fax_number": "952-977-3459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3545 Highway 61 N",
            "address_purpose": "LOCATION",
            "city": "Vadnais Heights",
            "state": "MN",
            "postal_code": "551105223",
            "country_code": "US",
            "telephone_number": "651-439-8807",
            "fax_number": "651-439-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAFBLAD",
        "first_name": "NELS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "62570",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MN",
            "license": "62570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.