| Dr Kyle Shaune Nelson, MD | |
|
11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | |
| (763) 427-1137 | |
| Not Available |
| Full Name | Dr Kyle Shaune Nelson |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 17 Years |
| Location | 11850 Blackfoot St Nw, 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 |
|---|---|---|---|
| 1194987289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 5933 (Nebraska) | Secondary |
| 207T00000X | Neurological Surgery | 57276 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Metropolitan Neurosurgery Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386690543 PECOS PAC ID: 7214930254 Enrollment ID: O20060814000167 |
| Entity Name | Minnesota Neurosurgical Trauma Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922241884 PECOS PAC ID: 6305998980 Enrollment ID: O20090713000096 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Shaune Nelson, MD 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 Ph: (763) 427-1137 | Dr Kyle Shaune Nelson, MD 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 Ph: (763) 427-1137 |
Dr. Robert Roach, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 | |
Hart Phillip Garner, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 Fax: 763-427-4643 |