Active NPI
Sara Bernadette Dauphinais, PA-C
- Physician Assistant
- Richfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11148
- Practice address
- 44 W 66TH St
Richfield, MN 55423-2316 - Phone
- (612) 873-8200
- NPI assigned
- Jul 16, 2012
- 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 | 11148 | MN | Primary |
Addresses
Primary practice location
44 W 66TH St
Richfield, MN 55423-2316
Mailing address
44 W 66TH St
Richfield, MN 55423-2316
Phone (612) 873-8200
Other practice location 1
15290 Pennock Ln
Apple Valley, MN 55124-7163
Phone (952) 853-8800
Other names 1
- Sara Bernadette Dauphinai Scully
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
205 Wabasha Ave S
Saint Paul, MN 55107-1805
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020
3930 Northwood Dr
Arden Hills, MN 55112-6963
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
15350 English Ave
Apple Valley, MN 55124
Phone (952) 431-8500
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
44 W 66th St
Richfield, MN 55423
Phone (612) 798-8260
15290 Pennock Ln
Saint Paul, MN 55124
Phone (952) 431-8500
2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870
205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100
8450 Seasons Pkwy
Woodbury, MN 55125
Phone (651) 702-5300
Interoperability endpoints
- sara.dauphinais.1@31026.direct.athenahealth.com
Organizations & group practices 5
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.
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- Minneapolis, MN
- NPI 1710924683
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- Psychiatric Hospital Unit
- Minneapolis, MN
- NPI 1356369524
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1306873872
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1629006457
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1679391122
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1962149419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1467707521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 W 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232316",
"telephone_number": "612-873-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232316",
"telephone_number": "612-873-8200"
}
],
"practiceLocations": [
{
"address_1": "15290 Pennock Ln",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "MN",
"postal_code": "551247163",
"country_code": "US",
"telephone_number": "952-853-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUPHINAIS",
"first_name": "SARA",
"middle_name": "BERNADETTE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "SCULLY",
"middle_name": "BERNADETTE DAUPHINAI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.