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

Dr. Paul C Nystrom, MD

Individual provider Emergency Medicine Physician · NPI 1164445052

Dr. Paul C Nystrom, MD is an Emergency Medicine in Bloomington, Minnesota. Qualified in 2005, 21 years ago. Practices with Emergency Physicians Professional Association, a 271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone: (952) 835-9880
Show map & directions

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

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-5645

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53822 (MN)

Record details

NPI number1164445052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Emergency Physicians Professional Association — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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