Individual provider Active NPI

Rachel Oeffling, PA-S

  • Physician Assistant
  • Chaska, MN
National Provider Identifier
1104414242
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14240 Issued in MN
Practice address
111 Hundertmark Rd Ste 120
Chaska, MN 55318-1195
Phone
(952) 856-4001
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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 14240 MN Primary

Addresses

Primary practice location

111 Hundertmark Rd Ste 120
Chaska, MN 55318-1195

Mailing address

1513 W Shore Dr
Buffalo, MN 55313-5639
Phone (954) 262-1250

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
I20230125002731 MN Practitioner - Physician Assistant 1557732799 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear, Nose, and Throat Clinic and Hearing Center PAGroup PAC ID 3072518992, 10 clinicians

Practice addresses (Care Compare)

7300 France Ave S
Suite 420
Edina, MN 55435-4504
Phone (952) 832-5252

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sibley Medical Center CurrentSince Nov 28, 2022 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 20, 2024 Accepting new patients
Ridgeview Medical Center CurrentSince Nov 28, 2022 Accepting new patients
Ridgeview Medical Center CurrentSince Nov 28, 2022 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Nov 28, 2022 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 20, 2024 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

1000 W 140th St
Unit 201
Burnsville, MN 55337
Phone (952) 808-3000

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 120
Chaska, MN 55318
Phone (952) 856-4001

2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1104414242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W SHORE DR",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553135639",
            "telephone_number": "954-262-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD STE 120",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181195",
            "telephone_number": "952-856-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEFFLING",
        "first_name": "RACHEL",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.