Erin Rae Spatenka Rudolph, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13894 Issued in MN

Practice address

2200 NW 26TH St
Owatonna, MN 55060-5503

Phone

(507) 451-1120

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Rae Spatenka Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erudolph1662650@ehrdirect.mayoclinicmsg.org

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.

• Mayo Clinic Health System-Southeast Minnesota Region

  dba Mayo Clinic Health System-Albert Lea and Austin

  • Multi-Specialty Clinic/Center
  • Albert Lea, MN
  • NPI 1891701637
  Medicare reassignment
• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Medicare reassignment
• Mayo Clinic Health System-Southeast Minnesota Region

  dba Mayo Clinic Health System-Cannon Falls

  • Multi-Specialty Clinic/Center
  • Cannon Falls, MN
  • NPI 1497281695
  NPD
• Mayo Clinic Health System-Southeast Minnesota Region

  dba Mayo Clinic Health System Pharmacy - Cannon Falls

  • Clinic Pharmacy
  • Cannon Falls, MN
  • NPI 1699597468
  NPD
• Northfield Hospital

  • Orthopaedic Surgery Physician
  • Northfield, MN
  • NPI 1205862844
  NPD
• Northfield Hospital

  dba Northfield Hospital & Clinics - Urgent Care Farmington

  • Urgent Care Clinic/Center
  • Farmington, MN
  • NPI 1336934108
  NPD
• Northfield Hospital

  dba Northfield Hospital & Clinics - Northfield Clinic

  • Multi-Specialty Clinic/Center
  • Northfield, MN
  • NPI 1255367629
  NPD (past)
• Northfield Hospital

  dba Northfield Hospital & Clinics - Kenyon Clinic

  • Primary Care Clinic/Center
  • Kenyon, MN
  • NPI 1518631407
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1235894296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 9TH AVE NE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932843",
            "telephone_number": "507-676-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW 26TH ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550605503",
            "telephone_number": "507-451-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "ERIN",
        "middle_name": "RAE SPATENKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SPATENKA",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J Ronning, FNP-C
• Royal Home Care Agency
• Royal Interpreting and Translation Services
• Royal Transportation Owatonna Inc
• Dawn M Royer, PHARMD
• Renee Lynn Rumler
• Tanner Lee Ruppe
• S.T.a.R.T. With Hope Therapy, LLC
• Jodi Sampson, DC
• Allison Helene Marie Sanders

• Physician Assistant in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.