NATHAN J NISTLER PA-C
NPI 1174775514
Physician Assistant - Surgical in Woodbury, MN

Q: What is Nathan Nistler's NPI number?

The NPI number for Nathan Nistler is 1174775514. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Q: What is Nathan Nistler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Nistler was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 16, 2008PECOS EnrolledAccepts Medicare Assignment

2090 WOODWINDS DR, WOODBURY, MN 55125(651) 968-5201(651) 968-5903 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Aug 30, 2019 (2 updates tracked since 2019).

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About Nathan J Nistler Pa-c NPPES

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

NATHAN J NISTLER PA-C (NPI 1174775514) is an individual surgical provider in Woodbury, Minnesota, licensed in Minnesota (10514) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Woodwinds Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174775514

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameNATHAN J NISTLERCredential: PA-C

Location Address2090 WOODWINDS DRWoodbury, MN 55125-2522

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5200

Phone(651) 968-5201

Fax(651) 968-5903

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 16, 2008

Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1174775514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MN · 10514

2090 WOODWINDS DR, Woodbury, MN 55125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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

Nathan J Nistler 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 ID42375792

PECOS Enrollment IDI20090213000116

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 8

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

624 services13 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

99 services79 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services55 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

48 services36 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

39 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

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.

ABBY J ROSS PA-C

Physician Assistant (Surgical)