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

Individual provider Emergency Medicine Physician · NPI 1578133765

Nicholas Maxwell, MD is an Emergency Medicine in Minneapolis, Minnesota. Qualified in 2021, 5 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Missouri.

Years since qualifying
5
Licensed in
MN, MO
In the registry since
2021
Specialties on file
2
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

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 747-4156

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 80012 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2021019858 (MO)

Record details

NPI number1578133765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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