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DR. JOHN ROBERT PAULSON M.D.
NPI 1457322802
Pediatrics in Maple Grove, MN

Active since February 01, 2006PECOS Enrolled
12000 ELM CREEK BLVD N, #250, MAPLE GROVE, MN 55369(952) 401-8300 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Robert Paulson M.d. NPPES

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

DR. JOHN ROBERT PAULSON M.D. (NPI 1457322802) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (38883) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457322802
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JOHN ROBERT PAULSONCredential: M.D.
Location Address12000 ELM CREEK BLVD N, #250Maple Grove, MN 55369-7073
Mailing Address17705 Hutchins Dr, #101Minnetonka, MN 55345-4145 · (952) 401-8300
Phone(952) 401-8300
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1457322802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 38883
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12000 ELM CREEK BLVD N, Maple Grove, MN 55369
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Other Identifiers 5

OtherCP9041011314MN · Preferred One
Other32Y76PAMN · Bluecross
Other111714MN · Ucare
Medicare UPING05311MN
Other1208118MN · Medica

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 (PECOS)

Dr. John Robert Paulson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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.

JAMIE LAWLESS CMT
Contractor
12000 ELM CREEK BLVD N, SUITE L70
MAPLE GROVE, MN 55369
Hennepin County (763) 463-9444
SHANE A. BORODITSKY, P.A.
Chiropractor
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (612) 281-3575
MIRTHA NESHEIM M.D.
Family Medicine
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (763) 420-5822
MS. GAY WYNNE LENTFER PA
Physician Assistant
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (763) 420-5822
MICHAEL A GALLAGHER FNP
Nurse Practitioner (Occupational Health)
12000 ELM CREEK BLVD N, #140
MAPLE GROVE, MN 55369
Hennepin County (763) 420-7048
JAMIE L SLEDD
Clinic/Center (Dental)
12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 494-4443
DR. JAMIE LIN SLEDD DDS
Dentist (General Practice)
12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 494-4443
KAREN LYNN SCULLY ATC
Specialist/Technologist (Athletic Trainer)
12000 ELM CREEK BLVD N, #120
MAPLE GROVE, MN 55369
Hennepin County (763) 420-9960

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 John Paulson's NPI number?

The NPI number for John Paulson is 1457322802. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is John Paulson located?

John Paulson practices at 12000 Elm Creek Blvd N #250, Maple Grove, MN 55369. The listed phone number is (952) 401-8300.

What is John Paulson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Paulson enrolled in Medicare?

Yes. John Paulson is registered in the Medicare PECOS enrollment system.

What insurance does John Paulson accept?

Health plans from HealthPartners and Medica list John Paulson 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 John Paulson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.