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

Cody Schroeder

Individual provider Physician Assistant · NPI 1528689312

Cody Schroeder is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

6600 Excelsior Blvd
St Louis Park, MN 55426-4744
Phone: (952) 993-7700
Show map & directions

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

Additional practice locations (2)

  • 19 Norman Ridge Dr, Bloomington, MN 55437-1749 — (612) 704-1413
  • 14000 Fairview Dr, Burnsville, MN 55337-5713 — (952) 993-8700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13510 (MN)

Record details

NPI number1528689312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2020
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in St Louis Park