KARL T NELSEN P.A.
NPI 1194924068
Physician Assistant in Roseville, MN

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113(512) 922-0000 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2021, Jun 24, 2021, Apr 26, 2019 (3 updates tracked since 2019).

About Karl T Nelsen P.a. NPPES

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

KARL T NELSEN P.A. (NPI 1194924068) is an individual physician assistant in Roseville, Minnesota and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194924068
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKARL T NELSENCredential: P.A.
Location Address2355 HIGHWAY 36 W, STE 100Roseville, MN 55113-3905
Mailing Address2355 Highway 36 W, Ste 100Roseville, MN 55113-3905 · (512) 922-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 12, 2007
Last NPPES UpdateJuly 20, 20213 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1194924068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2355 HIGHWAY 36 W, Roseville, MN 55113

Secondary Practice Locations 3

Location 19055 Springbrook Dr NWCoon Rapids, MN 55433-5841 · Phone (763) 780-9155
Location 24801 W 81st St, Suite 108Bloomington, MN 55437-1111 · Phone (952) 837-9700 · Fax (952) 837-9701
Location 3250 Thompson StSaint Paul, MN 55102-2370 · Phone (651) 292-2000 · Fax (651) 292-2136

Accepted 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

Karl T Nelsen P.a. 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 ID9638251986
PECOS Enrollment IDI20080125000546
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 13

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
115 services115 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
85 services85 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
55 services45 patients
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
48 services46 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
31 services28 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
29 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240141
Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40
Cost66.26

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.

Nurse Practitioner (Family)
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Behavior Technician
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Home Health
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Behavior Technician
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

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 Karl Nelsen's NPI number?

The NPI number for Karl Nelsen is 1194924068. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Karl Nelsen located?

Karl Nelsen practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (512) 922-0000.

What is Karl Nelsen's specialty?

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

Is Karl Nelsen enrolled in Medicare?

Yes. Karl Nelsen 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 Karl Nelsen accept?

Health plans from Sanford Health Plan list Karl Nelsen 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.

Is Karl Nelsen affiliated with any hospitals?

According to CMS data, Karl Nelsen is affiliated with Fairview Lakes Health Services, M Health Fairview Southdale Hospital, Fairview Northland Regional Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Karl Nelsen was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.