NPIMap

Individual provider Active NPI

Patricia Ann Sorensen, M.D.

  • Family Medicine Physician
  • Wayzata, MN
National Provider Identifier
1275786105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53198 Issued in MN
Practice address
250 Central Ave N BLDG Ste 228
Wayzata, MN 55391-1206
Phone
(952) 993-8250
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53198 MN Primary

Addresses

Primary practice location

250 Central Ave N BLDG Ste 228
Wayzata, MN 55391-1206

Mailing address

250 Central Ave N
Medical Building Ste 228
Wayzata, MN 55391-1206
Phone (952) 993-8250

Other practice location 1

916 Saint Peter St
Delano, MN 55328-2813
Phone (952) 442-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223001153 MN Practitioner - Family Practice 4981885969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 220
Chaska, MN 55318-1197
Phone (952) 856-4001

4695 Shoreline Dr
Spring Park, MN 55384-9715
Phone (952) 442-7890

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

  • Ridgeview Home Care Services Home health agency, Waconia, MN, CCN 247168
  • Allina Health Home Health Home health agency, Minneapolis, MN, CCN 248091
  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53198MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic Family Medicine CurrentSince Sep 25, 2017 Accepting new patients
Sibley Medical Center CurrentSince Aug 23, 2021 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Jul 24, 2022 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Sep 25, 2017 Accepting new patients
Park Nicollet Clinic PastSince Jul 24, 2022 Accepting new patients

Locations

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

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

250 Central Ave N
Wayzata, MN 55391
Phone (612) 473-4216

250 Central Ave N
Ste 228
Wayzata, MN 55391
Phone (952) 993-8250

Organizations & group practices 6

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 6

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275786105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "MEDICAL BUILDING STE 228",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-993-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N BLDG STE 228",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-993-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Saint Peter St",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "MN",
            "postal_code": "553282813",
            "country_code": "US",
            "telephone_number": "952-442-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "53198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

Verify at the official NPI Registry.