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

Andrew John Cozadd, PA-C

Individual provider Physician Assistant · NPI 1154685204

Andrew John Cozadd, PA-C is a Physician Assistant in Fridley, Minnesota. Qualified in 2012, 14 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8290 University Ave NE Ste 200
Fridley, MN 55432-1847
Phone: (763) 786-9543
Fax: (763) 786-3320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11167 (MN)

Record details

NPI number1154685204
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2012
Last updated in NPPESApril 21, 2017
Mailing address4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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