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

Nicholas Dale Beaudoin

Individual provider Physician Assistant · NPI 1194205526

Nicholas Dale Beaudoin is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2018, 8 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

913 E 26th St Ste 600
Minneapolis, MN 55404
Phone: (612) 775-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194205526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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