Individual provider Active NPI

Nelson L Adamson, MD

  • Radiation Oncology Physician
  • Shakopee, MN
National Provider Identifier
1720155336
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
104023 Issued in MN
Practice address
1475 Saint Francis Ave
Shakopee, MN 55379-3301
Phone
(952) 428-2663
NPI assigned
Nov 29, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301077272 MI
Radiation Oncology Physician 2085R0001X 104023 MN Primary

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

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
I20090204000156 MN Practitioner - Radiation Oncology 1557425691 Reassigns benefits to 1 organization
I20240918000384 WI Practitioner - Radiation Oncology 1557425691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneapolis Radiation Oncology PAGroup PAC ID 8527951094, 18 clinicians

Practice addresses (Care Compare)

1475 Saint Francis Ave
Shakopee, MN 55379-3301
Phone (952) 428-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301077272MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Radiation Oncology PA Radiation Oncology CurrentSince Aug 19, 2024 Accepting new patients
Centracare Health Systems Current Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Mid-Minnesota Radiation Oncology, PA Radiation Oncology 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

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

7401 Metro Blvd
Ste 210
Minneapolis, MN 55439
Phone (952) 920-4915

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1720155336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393086",
            "telephone_number": "952-920-4915",
            "fax_number": "952-915-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SAINT FRANCIS AVE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793301",
            "telephone_number": "952-428-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "NELSON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301077272",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "104023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.