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MR. RANDAL NELSON P.A.
NPI 1558474197
Physician Assistant in Roseville, MN

Active since August 17, 2006
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Mr. Randal Nelson P.a. NPPES

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

MR. RANDAL NELSON P.A. (NPI 1558474197) is an individual physician assistant in Roseville, Minnesota, licensed in Minnesota (9982) and active in the NPI registry since August 2006. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558474197
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RANDAL NELSONCredential: P.A.
Location Address2355 HIGHWAY 36 W, STE 100Roseville, MN 55113-3905
Mailing Address2355 Highway 36 W, Ste 100Roseville, MN 55113-3905 · (651) 292-2000
Phone(651) 292-2000
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 20, 20213 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1558474197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9982
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
Open in Google Maps ↗

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

Other Identifiers 1

Medicaid970002312MN

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.

MRS. KECIA K FARLEY FNP-C
Nurse Practitioner (Family)
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (810) 471-8522
ABDIRAHMAN MOHAMED MUSE
Behavior Technician
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (612) 644-4942
JORGE A LEON MD
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
JOHN P KNOEDLER JR. MD
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
ROBERT JOHN HOSKER M.D.
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
CENTRAL LAKES HEALTH CARE SERVICES LLC
Home Health
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (763) 377-2418
MUNA HASSAN MOHAMMED
Behavior Technician
2355 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (763) 358-5353
KRISTIN A LIEBERMAN MD
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000

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 Randal Nelson's NPI number?

The NPI number for Randal Nelson is 1558474197. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Randal Nelson located?

Randal Nelson practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.

What is Randal Nelson's specialty?

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

When was this NPI record last updated?

The NPPES record for Randal Nelson 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.