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

Laura Bergstrom, PA

Individual provider Physician Assistant · NPI 1770133175

Laura Bergstrom, PA is a Physician Assistant in Lake Elmo, Minnesota. Qualified in 2020, 6 years ago. Practices with Noran Neurological Clinic, PA, a 54-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8515 Eagle Point Blvd
Lake Elmo, MN 55042-8624
Phone: (612) 879-1000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13671 (MN)

Record details

NPI number1770133175
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5281

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 Noran Neurological Clinic, P.A. — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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