| Nicholas James Pruett, PA-C | |
|
11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773 | |
| (763) 427-1137 | |
| Not Available |
| Full Name | Nicholas James Pruett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 11850 Blackfoot St Nw Ste 490, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164737417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 10813 (Minnesota) | Primary |
| 363A00000X | Physician Assistant | 10813 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Cambridge Medical Center | Cambridge, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Neurosurgical Trauma Associates, Pllc | 6305998980 | 11 |
| Metropolitan Neurosurgery Pa | 7214930254 | 12 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas James Pruett, PA-C 11850 Blackfoot St Nw, Ste 490, Coon Rapids, MN 55433-2773 Ph: (651) 968-5201 | Nicholas James Pruett, PA-C 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773 Ph: (763) 427-1137 |
Gretchen Olsen Zachel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1879 128th Ave Nw, Coon Rapids, MN 55448 Phone: 763-767-9113 | |
Mrs. Ashlee Ann Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-427-9980 | |
Mr. Aaron Ssemujju, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Chelsie Nicole Horner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 300, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Mr. Lorenzo Angelo Pavoloni, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Amanda Lynn Fortier, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw Ste 470, Coon Rapids, MN 55433 Phone: 651-999-6800 Fax: 833-905-2114 | |
Fathiya Mohamed Jeylani, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |