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DR. PAUL C NYSTROM M.D.
NPI 1164445052
Emergency Medicine in Bloomington, MN

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435(952) 835-9880 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Aug 11, 2024, Sep 7, 2022 (3 updates tracked since 2022).

About Dr. Paul C Nystrom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL C NYSTROM M.D. (NPI 1164445052) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Minnesota (53822) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Winona Health Services, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1164445052
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL C NYSTROMCredential: M.D.
Location Address4300 MARKETPOINTE DR STE 100Bloomington, MN 55435-5435
Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574
Phone(952) 835-9880
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1164445052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 53822
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4300 MARKETPOINTE DR STE 100, Bloomington, MN 55435
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Secondary Practice Location 1

Location 1701 Park Ave, ED DeptMinneapolis, MN 55415-1623 · Phone (612) 873-5645

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul C Nystrom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587742416
PECOS Enrollment IDI20120809000854
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Paul Nystrom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Professional Association
Same address
Emergency Medicine
4300 MARKETPOINTE DRIVE, SUITE 100
Bloomington, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 328 clinicians in this Medicare group
NPI 1801871934 (952) 835-9880
Gundersen Lutheran Medical Center Inc
71 mi
Clinic/Center
3101 AVALON COVE CT NW
Rochester, MN 55901
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1225372923 (Wisconsin)
  • 275 clinicians in this Medicare group
NPI 1932826377 (608) 782-7300
Saint Elizabeths Hospital Of Wabasha Inc
71 mi
Home Health
1200 GRANT BLVD W
Wabasha, MN 55981
  • Reassigned Medicare billing, Minnesota enrollment
  • 147 clinicians in this Medicare group
NPI 1053346825 (651) 565-4531
Winona Health Services
102 mi
General Acute Care Hospital
855 MANKATO AVE
Winona, MN 55987
  • Reassigned Medicare billing, Minnesota enrollment
  • 330 clinicians in this Medicare group
NPI 1295789352 (507) 454-3650
Grand Itasca Clinic And Hospital
163 mi
General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 clinicians in this Medicare group
NPI 1669426631 (218) 326-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
61 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services51 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services23 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winona Health Services

Acute Care Hospitals · Winona, MN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240044
Location855 Mankato AvenueWinona, MN 55987 · Winona County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA LYNN MEYER M.D.
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
JACOB C KRUGER PA-C
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (528) 359-9880
DR. HOLLY LYNN SCHRUPP BERG MD
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
MEREDITH JEAN LORIG PA-C
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
ANDREW H BAUER MD
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
VICTORIA SHEPARD WILLIAMS PA-C, MPAS
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
MATTHEW BRIAN HAMILTON WILLIAMS PA-C
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
LAURA KUHLMAN
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Nystrom's NPI number?

The NPI number for Paul Nystrom is 1164445052. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Paul Nystrom located?

Paul Nystrom practices at 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435. The listed phone number is (952) 835-9880.

What is Paul Nystrom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Nystrom enrolled in Medicare?

Yes. Paul Nystrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Nystrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Nystrom reassigns Medicare benefits to 5 organizations: Emergency Physicians Professional Association (Bloomington, MN), Gundersen Lutheran Medical Center Inc (Rochester, MN), Saint Elizabeths Hospital Of Wabasha Inc (Wabasha, MN), Winona Health Services (Winona, MN) and Grand Itasca Clinic And Hospital (Grand Rapids, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Nystrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Nystrom affiliated with any hospitals?

According to CMS data, Paul Nystrom is affiliated with Winona Health Services, Buffalo Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Paul Nystrom was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.