Active NPI
Gina Sejin Dahlin, PA-C
- Physician Assistant
- Saint Paul, MN
National Provider Identifier
1235109356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9956
- Practice address
- 777 Raymond Ave
Saint Paul, MN 55114-1522 - Phone
- (952) 484-7661
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9956 | MN | |
| Physician Assistant | 363A00000X | 9956 | MN | Primary |
Addresses
Primary practice location
777 Raymond Ave
Saint Paul, MN 55114-1522
Mailing address
4570 W 77TH St
Ste 150
Edina, MN 55435-5038
Phone (952) 567-7400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1449 Cleveland Ave N
Saint Paul, MN 55108-1413
Phone (651) 645-5323
2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 645-5323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program P C | Current | Accepting new patients | |
| Northstar Sleep Center LLC | Past | Accepting new patients |
Locations
2265 Como Ave
Saint Paul, MN 55108
Interoperability endpoints
- gina.dahlin.p1@direct.mlcmsi.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1528165065
-
- Pulmonary Disease Physician
- Minneapolis, MN
- NPI 1184655813
-
- Sleep Disorder Diagnostic Clinic/Center
- Coon Rapids, MN
- NPI 1124315700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1235109356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 W 77TH ST",
"address_2": "STE 150",
"city": "EDINA",
"state": "MN",
"postal_code": "554355038",
"telephone_number": "952-567-7400",
"fax_number": "952-852-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 RAYMOND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141522",
"telephone_number": "952-484-7661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLIN",
"first_name": "GINA",
"middle_name": "SEJIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "9956",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.