Nelson L Adamson, MD
Individual provider Active NPI Radiation Oncology Physician · Shakopee, MN
NPI 1720155336 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1720155336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 104023 (MN)
- Practice address
- 1475 Saint Francis Ave
Shakopee, MN 55379-3301 - Phone
- (952) 428-2663
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Harvard Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minneapolis Radiation Oncology PA
Practice addresses (Care Compare)
1475 Saint Francis Ave
Shakopee, MN 55379-3301
Phone (952) 428-2663
Hospital & facility affiliations
- St Francis Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090204000156 | MN | Practitioner - Radiation Oncology | 1557425691 | Reassigns benefits to 1 organization |
| I20240918000384 | WI | Practitioner - Radiation Oncology | 1557425691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077272 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Cloud Pathologists PA | Current | Accepting new patients | |
| Centracare Health Systems | Current | Accepting new patients | |
| Minneapolis Radiation Oncology PA | Radiation Oncology | Current |
Accepting new patients |
| Mid-Minnesota Radiation Oncology, PA | Radiation Oncology | Past | Accepting new patients |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
215 Ivy St
Brainerd, MN 56401
Phone (218) 828-7585
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
11850 Blackfoot St NW
Ste 150
Coon Rapids, MN 55433
Phone (763) 433-0221
7401 Metro Blvd
Ste 210
Minneapolis, MN 55439
Phone (952) 920-4915
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
640 Jackson St
Stop 11202E
Saint Paul, MN 55101
1475 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2031
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
560 S Maple St
Ste 10
Waconia, MN 55387
Phone (952) 442-6000
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
501 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-2950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4301077272 | MI | |
| Radiation Oncology Physician | 2085R0001X | 104023 | MN | Yes |
Addresses
Primary practice location
1475 Saint Francis Ave
Shakopee, MN 55379-3301
Mailing address
7401 Metro Blvd Ste 210
Edina, MN 55439-3086
Phone (952) 920-4915
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920006245 | Other | MI | RAILROAD MEDICARE |
| 4302627 | Medicaid | MI | |
| 320220107 | Other | MI | BCBS |
Other providers in Shakopee, MN
- Eseoghene Abokede
- Kelsey Marie Danzeisen Abraham
- Aaisha Abukar
- Acts Therapy LLC
- Abdinasir Adam
- Theophilus Narh Addotte-Wayo
- Maryan Abdiaziz Aden
- Advocates for Thriving Communities
- Aegis Group Practice LLC
- Ag Blossom LLC
All providers in Shakopee, MN · Radiation Oncology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.