OrganizationActive
Park Nicollet Methodist Hospital
NPI 1174980692 · General Acute Care Hospital · Maple Grove, MN
Provider details
- NPI number
- 1174980692
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Jason Luhrs, Vp Finance(952) 883-7158
Specialties & taxonomies
Hospitals
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15800 95th Ave N
Maple Grove, MN 55369-4400
Phone: (952) 993-1440
Street-level locationGet directions
Mailing address
Po Box 1488
Minneapolis, MN 55480-1488
Other names (DBA / former)
- Other name
- Park Nicollet Surgery Center
- Other name
- Park Nicollet Surgery Center
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2021-10-25
- Certified
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.