Individual provider Active NPI

Lauren Anne Bakke, PA-C

  • Physician Assistant
  • Mahnomen, MN
National Provider Identifier
1295404010
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Sep 4, 2025

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 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, MT6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
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 FargoGroup PAC ID 8426967803, 1,210 clinicians
Sanford Clinic NorthGroup PAC ID 4284546151, 9 clinicians

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 Hospital, Mahnomen, MN, CCN 240779
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1460SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 11, 2025 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jan 20, 2022 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 CurrentSince Aug 11, 2025 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 CurrentSince Nov 1, 2021 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 CurrentSince Nov 1, 2021 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 CurrentSince Jan 20, 2022 Accepting new patients
Sweet Memorial Nursing Home PastSince Feb 1, 2010 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 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.

View all 34

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": "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

Verify at the official NPI Registry.