Individual provider Active NPI

Katelyn Sarlette, PA-C

  • Physician Assistant
  • Crosby, MN
National Provider Identifier
1053938381
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
320 E Main St
Crosby, MN 56441-1645
Phone
(218) 546-7000
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MN Primary

Addresses

Primary practice location

320 E Main St
Crosby, MN 56441-1645

Mailing address

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2157

Other practice location 1

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2157

Other names 1

  • Katelyn Cambell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813002986 MN Practitioner - Physician Assistant 9133545692 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyuna Regional Medical Center CurrentSince Jul 2, 2020 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Jul 2, 2020 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

Interoperability endpoints

  • Direct secure messaging: ksarlette470125@excellian.direct.allina.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1053938381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411645",
            "telephone_number": "218-546-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bunker Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Aitkin",
            "state": "MN",
            "postal_code": "564311865",
            "country_code": "US",
            "telephone_number": "218-927-2157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARLETTE",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "CAMBELL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crosby, MN

Sources for this page

Verify at the official NPI Registry.