Grayson Blomberg, PA-C
Grayson Blomberg, PA-C is a Surgical Physician Assistant in Plymouth, MN, registered under NPI 1003057118.
Getting there
Here is what surrounds this office in Plymouth, based on OpenStreetMap data collected Sep 3, 2026. Parking is available about 866 ft away. The nearest transit stop is 709 ft away, served by Creek Pl Condos. If you arrive early, there is a coffee shop 0.50 mi away.
Getting here and what is nearby
Parking 311 ft ~2 min
Transit 37 Av N 360 ft ~2 min
Transit 37 Av N 434 ft ~2 min
Coffee The Fox and Pantry 658 ft ~3 min
Parking 653 ft ~3 min
Transit Creek Pl Condos 709 ft ~3 min
Restaurant Elmar's New York Pizza 688 ft ~3 min
15725 37th Avenue North, Plymouth 55446
Mo off; Tu-Sa 11:00-20:00; Su 12:00-19:00
Parking 866 ft ~4 min
Restaurant Jimmy John's 0.22 mi ~5 min
3570 Vicksburg Lane North, Plymouth 55447
Mo-Su 11:00-22:00
Grocery Cub Foods 0.23 mi ~5 min
3550 Vicksburg Lane North, Plymouth 55447
Coffee Caribou Coffee 0.29 mi ~6 min
3500 Vicksburg Lane North, Plymouth 55447
Mo-Th 05:30-21:00; Fr 05:30-21:00; Sa 06:30-22:00; Su 06:30-21:00
Restaurant Noodles & Company 0.31 mi ~7 min
Grocery Lunds & Byerlys 0.44 mi ~9 min
3455 Vicksburg Lane North, Plymouth 55447
06:00-22:00
Grocery Fresh Thyme Market 0.48 mi ~10 min
Coffee Starbucks 0.50 mi ~10 min
Mo-Th 05:00-20:30; Fr 05:00-21:00; Sa-Su 06:00-21:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10560 | MN | Surgical Physician Assistant primary |
This provider holds licence 10560 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 2668520354
- Enrollment ID
- I20090507000320
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003057118 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 19, 2009 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | PA-C |
| Practice address |
15700 37TH AVE N STE 150 Plymouth, MN 55446 (651) 968-5201 |
| Mailing address |
710 COMMERCE DR STE 200 Woodbury, MN 55125 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 5 | 7 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 5 | 5 | 1 | 2 |
Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.