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Active NPI 1164737417 Individual Practitioner Male Practitioner

Nicholas James Pruett , PA-C

Physician Assistant • Bloomington, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicholas Pruett, PA-C is a certified Physician Assistant practicing in Bloomington, MN. With approximately 16 years of clinical experience since completing medical education in 2010, Nicholas Pruett delivers high-quality medical care to the local community at 4801 W 81ST ST STE 112.

Nicholas Pruett is affiliated with National Dizzy And Balance Center,Ltd. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4801 W 81st St Ste 112

Bloomington, MN 554371111

Telephone 9523453000
Fax 9523456789
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +6.1 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
128 Specialists

Practicing in Bloomington, MN (4026 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
24.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pruett (16 Years) 16 Yrs
Bloomington Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
35 21 $42.00 $39.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $147.00 $103.94

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10813

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License MN 10813

Definition to come...

Hospital & Practice Group Affiliations

National Dizzy And Balance Center,ltd.

162 Cobblestone Ln, Burnsville, MN 553374578

Phone: 9523453000

National Dizzy And Balance Center,ltd.

1630 101st Neave, Blaine, MN 554494419

Phone: 9523453000

National Dizzy And Balance Center,ltd.

4801 W 81st St, Bloomington, MN 554371111

Phone: 9523453000

Secondary Practice Locations

11850 Blackfoot St Nw Ste 490

Coon Rapids, MN 554332773

Phone: 7634271137

162 Cobblestone Ln

Burnsville, MN 553374578

Phone: 9523453000

1630 101st Ave Ne Ste 160

Blaine, MN 554493403

Phone: 9523453000

15700 37th Ave N Ste 150

Plymouth, MN 554463675

Phone: 6519685201

7650 Currell Blvd Ste 260

Woodbury, MN 551258209

Phone: 9523453000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christina Jensen , OT

Occupational Therapist

NPI 1003517145

Occupational Therapist

Dr. Hailey Froehlich , OTD

Occupational Therapist

NPI 1033604467

Doctor of Occupational Therapy

Anna Restemayer , OT

Occupational Therapist

NPI 1053164640

Occupational Therapist

Dr. Angela Everson , DPT

Physical Therapist

NPI 1093192213

Doctor of Physical Therapy

Melissa Wick

Physical Therapist

NPI 1154756823
Dr. Linda Chai , DPT

Physical Therapist

NPI 1164147583

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location May 20, 2025

Registered at 4801 W 81ST ST STE 112, BLOOMINGTON, MN 554371111 (Tel: 9523453000)

📍
Updated Business Mailing Address May 20, 2025

Registered at 4801 W 81ST ST STE 112, BLOOMINGTON, MN 554371111 (Tel: 9523453000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2025

Physician Assistant (License #10813 in MN)

📍
Updated Practice Location April 17, 2019

Registered at 11850 BLACKFOOT ST NW STE 490, COON RAPIDS, MN 554332773 (Tel: 7634271137)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Physician Assistant (License #10813 in MN)

📍
Updated Business Mailing Address March 21, 2019

Registered at 11850 BLACKFOOT ST NW, STE 490, COON RAPIDS, MN 554332773 (Tel: (651) 968-5201)

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2017

Registered at 15700 37TH AVE N STE 150, PLYMOUTH, MN 554463675 (Tel: 6519685201)

📍
Updated Business Mailing Address August 16, 2017

Registered at 710 COMMERCE DR STE 200, WOODBURY, MN 551254925 (Tel: (651) 968-5201)

👤
Provider Name / Credentials Updated August 16, 2017

Recorded as NICHOLAS PRUETT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Physician Assistant (License #10813 in MN)

NPI Profile Active December 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2015

Registered at 303 CATLIN ST # STREETO, BUFFALO, MN 553131947 (Tel: 6519685675)

📍
Updated Business Mailing Address December 30, 2015

Registered at 710 COMMERCE DR STE 200, WOODBURY, MN 551254925 (Tel: 6519685675)

👤
Provider Name / Credentials Updated December 30, 2015

Recorded as NICHOLAS PRUETT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2015

Physician Assistant (License #10813 in MN)

🟢
Initial NPI Registration & Enumeration August 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164737417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2010
Last Update: May 20, 2025
Sole Proprietor: No

Mailing Address

4801 W 81st St Ste 112

Bloomington, MN 554371111

Phone: 9523453000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.