Active NPI
Abigail Somerville
- Physician Assistant
- Lakeville, MN
National Provider Identifier
1568219707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5612 162ND St W
Lakeville, MN 55044-2271 - Phone
- (651) 230-6195
- NPI assigned
- May 6, 2024
- 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 | Primary |
Addresses
Primary practice location
5612 162ND St W
Lakeville, MN 55044-2271
Mailing address
5612 162ND St W
Lakeville, MN 55044-2271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
241 S Illinois Ave
Oak Ridge, TN 37830-6204
Phone (865) 413-0185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6835 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
241 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 413-0185
Organizations & group practices 2
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.
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1568219707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5612 162ND ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550442271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5612 162ND ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550442271",
"telephone_number": "651-230-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.