NPIMap

Individual provider Active NPI

Victoria Rae Sondreal, PA-C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1609402791
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13609 Issued in MN
Practice address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 13609 MN Primary

Addresses

Primary practice location

2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905

Mailing address

2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Other practice location 1

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Phone (763) 427-9980

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
I20210730002260 MN Practitioner - Physician Assistant 5092118851 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

14000 Nicollet Ave
Suite 204
Burnsville, MN 55337-5796
Phone (651) 292-2000

14655 Galaxie Ave
Apple Valley, MN 55124-8602

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 292-2000

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2925 Chicago Ave
Minneapolis, MN 55407-1321

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 292-2000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (651) 292-2000

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13609MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 19, 2021 Accepting new patients
Fairview Health Services CurrentSince Aug 1, 2025 Accepting new patients
Madison Healthcare Services CurrentSince Dec 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System CurrentSince Jul 19, 2021 Accepting new patients
Fairview Health Services CurrentSince Aug 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Aug 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System Past Accepting new patients
Consulting Radiologists, LTD Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

4040 Coon Rapids Blvd NW
Ste 120
Minneapolis, MN 55433
Phone (763) 427-9980

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

Interoperability endpoints

  • Direct secure messaging: vsondreal168985@excellian.direct.allina.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1609402791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Coon Rapids Blvd NW Ste 120",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554334568",
            "country_code": "US",
            "telephone_number": "763-427-9980",
            "fax_number": "763-427-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONDREAL",
        "first_name": "VICTORIA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.