NPIMap

Individual provider Active NPI

Sarah A Rains, RN CNP

  • Nurse Practitioner
  • Rochester, MN
National Provider Identifier
1386994028
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1328 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905
Phone
(507) 284-2511
NPI assigned
Sep 10, 2012
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R1647501 MN
Nurse Practitioner 363L00000X 1328 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905

Mailing address

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661

Other practice location 1

1216 2nd St SW
Hospital Internal Medicine
Rochester, MN 55902
Phone (507) 255-5123

Other practice location 2

1216 2nd St SW
Hospital Internal Medicine
Rochester, MN 55902
Phone (507) 255-5123

Other practice location 3

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661

Other identifiers 1

IdentifierTypeStateIssuer
1386994028MedicaidMN

Other names 1

  • Sarah A Pankonin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srains139704@ehrdirect.mayoclinicmsg.org

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
I20121210000409 MN Practitioner - Nurse Practitioner 2668624008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1328MNMDChiropractor
R1647501MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Oct 24, 2012 Accepting new patients
Mayo Clinic CurrentSince Oct 24, 2012 Accepting new patients
Avera Marshall CurrentSince Aug 10, 2020 Accepting new patients
Avera Marshall CurrentSince Aug 10, 2020 Accepting new patients
Avera Marshall Current Accepting new patients
Avera Tyler Current Accepting new patients
Mayo Clinic Current Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

1216 2nd St SW
Rochester, MN 55902
Phone (507) 255-5123

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

625 N Jackson Ave
Springfield, MN 56087
Phone (507) 723-3523

Interoperability endpoints

  • Direct secure messaging: sarah.rains@avera.sdhealthlink.net
  • Direct secure messaging: srains139704@ehrdirect.mayoclinicmsg.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1386994028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-532-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55905",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 2nd St SW",
            "address_2": "Hospital Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "55902",
            "country_code": "US",
            "telephone_number": "507-255-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 2nd St SW",
            "address_2": "Hospital Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "55902",
            "country_code": "US",
            "telephone_number": "507-255-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Bruce St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581934",
            "country_code": "US",
            "telephone_number": "507-532-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINS",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1647501",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386994028",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srains139704@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PANKONIN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.