Individual provider Active NPI

Deborah Ann Vogl, DHSC, PA-C

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1407821440
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9743 Issued in MN
Practice address
1497 White Bear Ave N
Saint Paul, MN 55106-2414
Phone
(612) 869-4444
Fax
(612) 254-8244
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1513-23 WI
Physician Assistant 363A00000X 9743 MN Primary

Addresses

Primary practice location

1497 White Bear Ave N
Saint Paul, MN 55106-2414

Mailing address

1497 White Bear Ave N
Saint Paul, MN 55106-2414
Phone (612) 869-4444

Other identifiers 1

IdentifierTypeStateIssuer
148774400MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040203000697 MN Practitioner - Physician Assistant 7911890173 Reassigns benefits to 3 organizations
I20211116001303 WI Practitioner - Physician Assistant 7911890173 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Sep 15, 2014 Accepting new patients
Tru Healthcare, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Sep 15, 2014 Accepting new patients
Hudson Hospital, Inc. CurrentSince Oct 26, 2021 Accepting new patients
Hudson Hospital, Inc Past Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

14525 Highway 7
Ste 250
Minnetonka, MN 55345
Phone (612) 274-7290

2586 7th Ave E
Saint Paul, MN 55109

4100 Lexington Ave N
Ste 150
Shoreview, MN 55126
Phone (218) 360-0283

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1407821440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062414",
            "telephone_number": "612-869-4444",
            "fax_number": "612-254-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062414",
            "telephone_number": "612-869-4444",
            "fax_number": "612-254-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGL",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DHSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1513-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148774400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.