Individual provider Active NPI

Nicholas Aaron Becker, PA-C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1639759723
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13906 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Apr 12, 2021
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 13906 MN 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 (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
I20220712002320 MN Practitioner - Physician Assistant 2163802836 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 87 NPIs, 3,844 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

101 Caring Way
Redwood Falls, MN 56283-2624
Phone (651) 292-2000

1282 Walnut St
Dawson, MN 56232-2333
Phone (651) 292-2000

14000 Nicollet Ave
Suite 204
Burnsville, MN 55337-5796
Phone (651) 292-2000

14655 Galaxie Ave
Apple Valley, MN 55124-8602

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 292-2000

1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (651) 292-2000

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2925 Chicago Ave
Minneapolis, MN 55407-1321

30 S Behl St
Suite 100
Appleton, MN 56208-1616
Phone (651) 292-2000

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

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 292-2000

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (651) 292-2000

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 292-2000

6401 France Ave S
Edina, MN 55435-2104
Phone (651) 292-2000

824 N 11TH St
Montevideo, MN 56265-1629
Phone (651) 292-2000

8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000

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

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Apr 26, 2022 Accepting new patients
St. Croix Regional Medical Center CurrentSince Apr 26, 2022 Accepting new patients
Park Nicollet Clinic CurrentSince Apr 26, 2022 Accepting new patients
Fairview Clinics CurrentSince Apr 26, 2022 Accepting new patients
Park Nicollet Methodist Hospital CurrentSince Apr 26, 2022 Accepting new patients
Fairview Express Care CurrentSince Apr 26, 2022 Accepting new patients
Fairview Clinics CurrentSince Apr 26, 2022 Accepting new patients
Allina Health System CurrentSince Apr 26, 2022 Accepting new patients
Fairview Health Services CurrentSince Apr 26, 2022 Accepting new patients
Allina Health System CurrentSince Dec 2, 2024 Accepting new patients
Fairview Express Care CurrentSince Apr 26, 2022 Accepting new patients
Madison Healthcare Services CurrentSince Jan 6, 2024 Accepting new patients
Allina Health System CurrentSince Apr 26, 2022 Accepting new patients
Consulting Radiologists, LTD Past Accepting new patients

Locations (25 of 48)

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

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

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

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

1285 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4200

5565 Blaine Ave
Ste 100
Inver Grove Heights, MN 55076
Phone (651) 241-9400

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

7840 Vinewood Ln N
Maple Grove, MN 55369
Phone (763) 236-0200

10705 Town Square Dr NE
Ste 100
Minneapolis, MN 55449
Phone (763) 236-5400

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

2833 Chicago Ave
Ste 406
Minneapolis, MN 55407

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

500 Osborne Rd NE
Ste 150
Minneapolis, MN 55432
Phone (763) 236-2500

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

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

Organizations & group practices 25

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 25

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1639759723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "NICHOLAS",
        "middle_name": "AARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.