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NICHOLAS JAMES PRUETT PA-C
NPI 1164737417
Physician Assistant in Bloomington, MN

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment
67.42/100
CMS Quality Rating
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437(952) 345-3000(952) 345-6789 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Apr 17, 2019, Mar 21, 2019 and 2 more (5 updates tracked since 2015).

About Nicholas James Pruett Pa-c NPPES

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

NICHOLAS JAMES PRUETT PA-C (NPI 1164737417) is an individual physician assistant in Bloomington, Minnesota, licensed in Minnesota (10813) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164737417
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS JAMES PRUETTCredential: PA-C
Location Address4801 W 81ST ST STE 112Bloomington, MN 55437-1111
Mailing Address4801 W 81st St Ste 112Bloomington, MN 55437-1111 · (952) 345-3000 · Fax (952) 345-6789
Phone(952) 345-3000
Fax(952) 345-6789
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 11, 2010
Last NPPES UpdateMay 20, 20255 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1164737417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 10813
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 10813 (MN)
4801 W 81ST ST STE 112, Bloomington, MN 55437
Open in Google Maps ↗

Secondary Practice Locations 5

Location 111850 Blackfoot St NW Ste 490Coon Rapids, MN 55433-2773 · Phone (763) 427-1137
Location 2162 Cobblestone LnBurnsville, MN 55337-4578 · Phone (952) 345-3000 · Fax (952) 345-6789
Location 31630 101st Ave NE Ste 160Blaine, MN 55449-3403 · Phone (952) 345-3000 · Fax (952) 345-6789
Location 415700 37th Ave N Ste 150Plymouth, MN 55446-3675 · Phone (651) 968-5201
Location 57650 Currell Blvd Ste 260Woodbury, MN 55125-8209 · Phone (952) 345-3000 · Fax (952) 345-6789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas James Pruett Pa-c 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 ID648468892
PECOS Enrollment IDI20110103000761
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55437 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.29
Improvement Activities40
Cost62.1

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.

CHRISTINA JEAN JENSEN OT
Occupational Therapist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-3000
NATIONAL DIZZY & BALANCE CENTER,LTD.
Physical Medicine & Rehabilitation
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-3000
ANNA KATE RESTEMAYER OT
Occupational Therapist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-3000
LINDA CHAI DPT
Physical Therapist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-3000
ELLE HAWKINSON AUDIOLOGIST
Audiologist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-0000
SAMANTHA RAE BUHMANN PA-C
Occupational Therapist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-3000
KATHERINE MARTINEK OT
Occupational Therapist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 345-3000
MRS. MARGARET BAO VAN KOR OTR/L
Occupational Therapist
4801 W 81ST ST STE 112
BLOOMINGTON, MN 55437
Hennepin County (952) 913-2907

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 Nicholas Pruett's NPI number?

The NPI number for Nicholas Pruett is 1164737417. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Nicholas Pruett located?

Nicholas Pruett practices at 4801 W 81st St Ste 112, Bloomington, MN 55437. The listed phone number is (952) 345-3000.

What is Nicholas Pruett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Pruett enrolled in Medicare?

Yes. Nicholas Pruett 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.

What insurance does Nicholas Pruett accept?

Health plans from Medica list Nicholas Pruett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Pruett was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.