Active NPI
Mikayla R Nelsen, PA-C
- Physician Assistant
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14571
- Practice address
- 11995 Singletree LN Ste 325
Eden Prairie, MN 55344-5347 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Aug 9, 2023
- Last updated
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14571 | MN | Primary |
Addresses
Primary practice location
11995 Singletree LN Ste 325
Eden Prairie, MN 55344-5347
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Summit Orthopedics, LTD. | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
11995 Singletree Ln
Ste 325
Eden Prairie, MN 55344
17210 Kenyon Ave
Lakeville, MN 55044
Phone (651) 968-5960
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 271-1592
560 S Maple St
Ste 200
Waconia, MN 55387
Phone (952) 856-4033
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Woodbury, MN
- NPI 1306899463
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
dba Minnesota Occupational Health
- Occupational Medicine Clinic/Center
- Saint Paul, MN
- NPI 1275684128
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1932882651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925",
"fax_number": "888-919-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN STE 325",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "651-968-5201",
"fax_number": "651-968-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSEN",
"first_name": "MIKAYLA",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.