NPIMap

Organization Active NPI

Park Nicollet Methodist Hospital

Doing business as Park Nicollet Same Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Burnsville, MN
National Provider Identifier
1649827973
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARK NICOLLET METHODIST HOSPITAL
Doing business as
Park Nicollet Same Day Surgery Center
Practice address
14050 Fairview Dr
Burnsville, MN 55337-5713
Phone
(952) 993-9210
Fax
(952) 993-5936
NPI assigned
Aug 21, 2019
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Alita Risinger
Title
Sr Vice President, Cfo
Phone
(952) 883-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

14050 Fairview Dr
Burnsville, MN 55337-5713

Mailing address

5050 Excelsior Blvd FL 2
St Louis Park, MN 55416-3001
Phone (952) 993-1835

Other names 1

  • Park Nicollet Same Day Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104002742 MN Part B Supplier - Ambulatory Surgical Center 7315840063 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, MN

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Park Nicollet Methodist Hospital Dba Park Nicollet Same Day Surgery CenterCCN 24C0001105
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Back and Neck Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14050 Fairview Dr
Burnsville, MN 55337
Phone (612) 499-8548

8455 Flying Cloud Dr
Ste 100
Eden Prairie, MN 55344
Phone (952) 993-7400

47 9th Ave S
Hopkins, MN 55343
Phone (952) 993-2100

700 5th St S
Hopkins, MN 55343
Phone (612) 916-1916

9600 Upland Ln N
Maple Grove, MN 55369
Phone (612) 863-4502

9600 Upland Ln N
Ste 110
Maple Grove, MN 55369

6701 Country Club Dr
Minneapolis, MN 55427
Phone (952) 993-0118

15111 Twelve Oaks Center Dr
Minnetonka, MN 55305
Phone (952) 993-4500

17821 Highway 7
Minnetonka, MN 55345
Phone (952) 993-2900

6500 Excelsior Blvd
#1398
Saint Louis Park, MN 55426
Phone (952) 993-5000

2550 University Ave W
Ste 216S
Saint Paul, MN 55114
Phone (952) 977-1801

19685 Highway 7
Shorewood, MN 55331
Phone (952) 993-2900

3800 Park Nicollet Blvd
Ste 300
St Louis Park, MN 55416
Phone (952) 993-2711

3931 Louisiana Ave S
#E215
St Louis Park, MN 55426
Phone (952) 993-5002

5050 Excelsior Blvd
Fl 2
St Louis Park, MN 55416

Practitioners & affiliated clinicians

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 183

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1649827973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 EXCELSIOR BLVD FL 2",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163001",
            "telephone_number": "952-993-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 FAIRVIEW DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375713",
            "telephone_number": "952-993-9210",
            "fax_number": "952-993-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK NICOLLET METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "RISINGER",
        "authorized_official_first_name": "ALITA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "952-883-5401"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Nicollet Same Day Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Nicollet Same Day Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.