Active NPI
Lauren Anne Bakke, PA-C
- Physician Assistant
- Mahnomen, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 410 4TH St
Mahnomen, MN 56557 - Phone
- (218) 935-2514
- NPI assigned
- Sep 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
410 4TH St
Mahnomen, MN 56557
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (218) 935-2514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, AK, TX, MN, SD, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210930000155 | ND | Practitioner - Physician Assistant | 7911304126 | Reassigns benefits to 1 organization |
| I20211028002729 | AK | Practitioner - Physician Assistant | 7911304126 | Reassigns benefits to 1 organization |
| I20211030000031 | TX | Practitioner - Physician Assistant | 7911304126 | Reassigns benefits to 1 organization |
| I20220125002136 | MN | Practitioner - Physician Assistant | 7911304126 | Reassigns benefits to 2 organizations |
| I20230911003527 | SD | Practitioner - Physician Assistant | 7911304126 | Reassigns benefits to 1 organization |
| I20241009002461 | MT | Practitioner - Physician Assistant | 7911304126 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center FargoSanford Clinic North
Practice addresses (Care Compare)
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
410 4TH St NW
Mahnomen, MN 56557-4208
Phone (218) 935-2514
410 4TH St SW
Mahnomen, MN 56557-4732
Phone (218) 835-2514
501 2ND St NW
Twin Valley, MN 56584-0996
Phone (218) 584-5142
Hospital & facility affiliations
- Mahnomen Health Center
- Sanford Medical Center Fargo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1460 | SD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Norton Sound Health Corporation | Physician Assistant | Current | Accepting new patients |
| Bristol Bay Area Health Corportation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Sweet Memorial Nursing Home | Past | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Southwestern Dist Health Unit | Past | Accepting new patients | |
| Lake Country Associates, Inc. | Past | Accepting new patients |
Locations
1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612
410 4th St SW
Mahnomen, MN 56557
Phone (218) 835-2514
Organizations & group practices 34
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.
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
AK, Physician Assistant
-
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1699295774
MN, MT, ND, SD
-
- Clinic Pharmacy
- Moorhead, MN
- NPI 1124122783
-
- Clinical Medical Laboratory
- St Augustine, FL
- NPI 1174680052
-
- Clinical Medical Laboratory
- Fargo, ND
- NPI 1164652640
-
- Community/Retail Pharmacy
- Fargo, ND
- NPI 1235173519
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1295404010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "218-935-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 4TH ST",
"city": "MAHNOMEN",
"state": "MN",
"postal_code": "56557",
"telephone_number": "218-935-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKKE",
"first_name": "LAUREN",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahnomen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.