Nicholas James Pruett, PA-C
NPI 1164737417ActiveIndividual· Physician Assistant· Bloomington, MN
Physician Assistant (PA-C) with National Dizzy and Balance Center,ltd., practicing in Bloomington, Minnesota. Mostly services rather than prescriptions: Medicare paid $4,952 for 50 patients in 2024, with only 43 Part D claims.
Overview
| NPI | 1164737417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 11, 2010 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10813 | MN |
| Physician Assistant, Surgical | 363AS0400X | 10813 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 96 across 19 procedure codes |
| Paid by Medicare | $4,952 |
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 43 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $282.91 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- National Dizzy and Balance Center,ltd.Bloomington, MN · 29 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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