IndividualActive
Nathan Young
NPI 1619782190 · Physician Assistant · Perham, MN
Provider details
- NPI number
- 1619782190
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15618 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1000 Coney St W
Perham, MN 56573-2102
Phone: (218) 347-1200
Street-level locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Additional practice locations (2)
- 1612 12th Ave SeEast Grand Forks, MN 56721-3229Phone: (218) 371-9598
- 5225 23rd Ave SFargo, ND 58104-7927Phone: (701) 417-2575
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.