Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelynn Mae Nyberg, PA-C

Individual provider Physician Assistant · NPI 1639707250

Katelynn Mae Nyberg, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2020, 6 years ago. Practices with Danielle Golden, CRNA, PA, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
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

12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167
Phone: (952) 431-5330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13511 (MN)

Record details

NPI number1639707250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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 Danielle Golden, Crna, Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Maple Grove