Park Nicollet
Park Nicollet is a healthcare organization registered as Clinic/Center in Maple Grove, MN, holding Type 2 (organization) NPI 1174975528 since 2016. The authorized official on file is Bernt Helgaas, Medical Director Park Nicollet Mgrc.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174975528 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Park Nicollet |
| Practice address | 9555 UPLAND LN N, Maple Grove, MN, 55369 |
| Phone | 9529931440 |
| Enumeration date | 2016-07-11 |
| Last updated in NPPES | 2016-07-11 |
Authorized official
| Name | Bernt Helgaas |
|---|---|
| Title | Medical Director Park Nicollet Mgrc |
| Phone | 9529931440 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Park Nicollet NPI: 1174975528 Taxonomy: 261Q00000X (Clinic/Center) Address: 9555 UPLAND LN N, Maple Grove, MN, 55369
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568453926 | David Sandell | Individual | Family Medicine Physician | Maple Grove, MN |
| 1710964705 | Greta Chen | Individual | Pediatrics Physician | Maple Grove, MN |
| 1841255072 | Jocelyn Libby | Individual | Pediatrics Physician | Maple Grove, MN |
| 1316995715 | Tobie Meyer | Individual | Medical Physician Assistant | Maple Grove, MN |
| 1083665913 | Michael Farrell | Individual | Pediatrics Physician | Maple Grove, MN |
| 1871522599 | Catherine Pandiscio | Individual | Physician Assistant | Maple Grove, MN |
| 1639102825 | Roberta Prigge | Individual | Sports Medicine (Family Medicine) Physician | Maple Grove, MN |
| 1851405070 | Anne Rosario | Individual | Medical Physician Assistant | Maple Grove, MN |
Verify this record
Cross-check NPI 1174975528 against the authoritative CMS record: view Park Nicollet on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Park Nicollet?
Who is the authorized official for Park Nicollet?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-07-11.