MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC
NPI 1922241884
Neurological Surgery in Coon Rapids, MN

Active since April 08, 2009
11850 BLACKFOOT ST NW, SUITE 490, COON RAPIDS, MN 55433(763) 427-1137(763) 427-4643 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 11, 2024, Aug 11, 2016 (3 updates tracked since 2016).

About Minnesota Neurosurgical Trauma Associates, Pllc NPPES

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

MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC (NPI 1922241884) is a healthcare organization registered as a neurological surgery in Coon Rapids, Minnesota and active in the NPI registry since April 2009. The organization lists Kyle S Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922241884
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameMINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC
Location Address11850 BLACKFOOT ST NW, SUITE 490Coon Rapids, MN 55433-2578
Mailing Address11850 Blackfoot St Nw, Suite 490Coon Rapids, MN 55433-2578 · (763) 427-1137 · Fax (763) 427-4643
Fax(763) 427-4643
Organization SubpartNo
Authorized OfficialKyle S NelsonCeo · (763) 427-1137
Enumeration DateApril 8, 2009
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1922241884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
11850 BLACKFOOT ST NW, Coon Rapids, MN 55433

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minnesota Neurosurgical Trauma Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Minnesota Neurosurgical Trauma Associates, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1962102400
11850 BLACKFOOT ST NW
Coon Rapids, MN 55433
(763) 427-1137
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1194987289
11850 BLACKFOOT ST NW SUITE 490
Coon Rapids, MN 55433
(763) 427-1137
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1154685097
913 E 26TH ST STE 305
Minneapolis, MN 55404
(612) 871-7278
✔ PECOS✔ Accepts Medicare17 mi
Neurosurgery
NPI 1477812394
913 E 26TH ST STE 305
Minneapolis, MN 55404
(612) 871-7278
✔ PECOS✔ Accepts Medicare17 mi
Neurosurgery
NPI 1871648717
913 E 26TH ST STE 305
Minneapolis, MN 55404
(612) 871-7278
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Minnesota Neurosurgical Trauma Associates, PLLC's NPI number?

The NPI number for Minnesota Neurosurgical Trauma Associates, PLLC is 1922241884. It was assigned to this organization in the NPPES registry on April 8, 2009.

Where is Minnesota Neurosurgical Trauma Associates, PLLC located?

Minnesota Neurosurgical Trauma Associates, PLLC is located at 11850 Blackfoot St NW Suite 490, Coon Rapids, MN 55433. The listed phone number is (763) 427-1137.

What is Minnesota Neurosurgical Trauma Associates, PLLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Minnesota Neurosurgical Trauma Associates, PLLC enrolled in Medicare?

Yes. Minnesota Neurosurgical Trauma Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minnesota Neurosurgical Trauma Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Minnesota Neurosurgical Trauma Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurosurgery (4) and Nurse Practitioner (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Minnesota Neurosurgical Trauma Associates, PLLC was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.