Individual provider Active NPI

Allison Joy Nelson, PA-C

  • Physician Assistant
  • White Bear Lake, MN
National Provider Identifier
1497399901
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14140 Issued in MN
Practice address
4480 Centerville Rd
White Bear Lake, MN 55127-3674
Phone
(651) 484-2724
NPI assigned
Oct 29, 2019
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14140 MN Primary
Medical Physician Assistant 363AM0700X 085007336 IL
Surgical Physician Assistant 363AS0400X 14140 MN
Surgical Physician Assistant 363AS0400X 085007336 IL

Addresses

Primary practice location

4480 Centerville Rd
White Bear Lake, MN 55127-3674

Mailing address

4480 Centerville Rd
White Bear Lake, MN 55127-3674
Phone (651) 484-2724

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address allison.kaper.p24@direct.gapho.nextgenshare.com Direct
Direct Messaging Address akaper412225@excellian.direct.allina.com Direct
Direct Messaging Address allison.kaper.p5@direct.gapho.nextgenshare.com Direct

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
I20230127000056 MN Practitioner - Physician Assistant 4385072693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14130 60TH St N
Stillwater, MN 55082-6354
Phone (651) 484-2724

25 Lake St N
Suite 200
Forest Lake, MN 55025-2537
Phone (651) 430-2724

4480 Centerville Rd
White Bear Lake, MN 55127-3674
Phone (651) 484-2724

Merit-based Incentive Payment System (MIPS)

Final score
74.85 of 100Reported as group
Quality
70.56
Promoting interoperability
81
Improvement activities
40
Cost
61.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14140MNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Care Medical Cosmetic and Surgery PA CurrentSince Jun 28, 2023 Accepting new patients
Allina Health System CurrentSince Jan 16, 2023 Accepting new patients
Advanced Dermatology Care Medical Cosmetic and Surgery PA CurrentSince Jun 28, 2023 Accepting new patients
Allina Health System CurrentSince Jan 16, 2023 Accepting new patients

Locations

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

11850 Blackfoot St NW
Ste 130
Minneapolis, MN 55433
Phone (763) 236-2045

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

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

4480 Centerville Rd
White Bear Lk, MN 55127
Phone (612) 550-1152

Interoperability endpoints

  • Direct secure messaging: akaper@adc.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1497399901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 CENTERVILLE RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551273674",
            "telephone_number": "651-484-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 CENTERVILLE RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551273674",
            "telephone_number": "651-484-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALLISON",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14140",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085007336",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "14140",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085007336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison.kaper.p24@direct.gapho.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Doctors Park",
            "city": "Gibson City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609362000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akaper412225@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "11850 Blackfoot St NW Ste 130",
            "city": "Coon Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554332583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison.kaper.p5@direct.gapho.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "227 N Market St",
            "city": "Paxton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609571123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.