Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnesota Neurosurgical Trauma Associates, PLLC

Organization Neurological Surgery Physician · NPI 1922241884

Minnesota Neurosurgical Trauma Associates, PLLC is a Neurological Surgery Physician in Coon Rapids, Minnesota. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11850 Blackfoot St NW Ste 490
Coon Rapids, MN 55433-2578
Phone: (763) 427-1137
Fax: (763) 427-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Acute Care Nurse Practitioner Taxonomy 363LA2100X

Record details

NPI number1922241884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Nelson — Ceo · (763) 427-1137
NPI enumeratedApril 8, 2009
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578

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