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

Makenna Pearl Nelson

Individual provider Physician Assistant · NPI 1477354967

Makenna Pearl Nelson is a Physician Assistant in Grand Rapids, Minnesota. Qualified in 2024, 2 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 326-3401
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477354967
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMarch 21, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids