Individual provider Active NPI

Sara Bernadette Dauphinais, PA-C

  • Physician Assistant
  • Richfield, MN
National Provider Identifier
1467707521
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11148 Issued in MN
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

Updated by the provider on Mar 17, 2018

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730002243 MN Practitioner - Physician Assistant 1759507577 Reassigns benefits to 2 organizations

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
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

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

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jan 9, 2018 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Aug 4, 2014 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Aug 4, 2014 Accepting new patients
Group Health, Inc. CurrentSince Jan 9, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.