Individual provider Active NPI

Tricia Kathryn Nesser, PA-C

  • Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1770525842
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9872 Issued in MN
Practice address
920 E 28TH St Ste 700
Minneapolis, MN 55407-1163
Phone
(612) 863-3750
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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 9872 MN Primary

Addresses

Primary practice location

920 E 28TH St Ste 700
Minneapolis, MN 55407-1163

Mailing address

13107 180TH Ave NW
Elk River, MN 55330-5633

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
I20040205001137 MN Practitioner - Physician Assistant 6709779408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

4181 108TH Ave NE
Blaine, MN 55449-7439
Phone (651) 430-3800

800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273

9855 Hospital Dr
Maple Grove, MN 55369-4648

9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9872MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Dec 12, 2012 Accepting new patients
Group Health, Inc. CurrentSince Oct 3, 2022 Accepting new patients
North Memorial Health Care CurrentSince Jul 1, 2015 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Fairview Health Services CurrentSince Dec 12, 2012 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Group Health, Inc. CurrentSince Oct 3, 2022 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

7450 France Ave S
Ste 210
Edina, MN 55435
Phone (763) 420-1010

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

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

920 E 28th St
Ste 700
Minneapolis, MN 55407
Phone (612) 863-9062

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

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1020 Bandana Blvd W
Saint Paul, MN 55108
Phone (651) 641-1000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1770525842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 180TH AVE NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553305633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST STE 700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071163",
            "telephone_number": "612-863-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSER",
        "first_name": "TRICIA",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.