Mary Agnes Dahl, MD
Individual provider Active NPI Family Medicine Physician · New Richmond, WI
NPI 1609497973 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1609497973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 70537 (MN)
- Practice address
- 535 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 243-3400
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amery Regional Medical Center Inc
Westfields Hospital Inc
Practice addresses (Care Compare)
265 Griffin E St
Amery, WI 54001-1439
Phone (715) 268-8000
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Hospital & facility affiliations
- Lakeview Homecare
- Interim Healthcare of Western Wisconsin
- Westfields Hospital and Clinic
- Amery Hospital & Clinic
- Lakeview Memorial Hospital
- Regions Hospital
- Hudson Hospital
- Amery Hospital & Clinic
- Westfields Hospital and Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220408000948 | MN | Practitioner - Family Practice | 4486070208 | Reassigns benefits to 4 organizations |
| I20231117002435 | WI | Practitioner - Family Practice | 4486070208 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31032 | MN | MD | Clinical Social Worker |
| 82220-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current |
Accepting new patients | |
| Westfields Hospital, Inc | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Fairview Express Care | Family Medicine | Current |
Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Westfields Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients |
Locations
13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1414 Maryland Ave E
Saint Paul, MN 55106
Phone (651) 772-3461
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82220-20 | WI | |
| Family Medicine Physician | 207Q00000X | 70537 | MN | Yes |
Addresses
Primary practice location
535 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-3400
Other practice location 1
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Other providers in New Richmond, WI
- Kylie Mishay Cress
- Alaina Marie Culbertson
- Dadez Physical Therapy, Inc
- Karl E Dadez
- Andrew Dahl
- Jolene A Daulton
- Deerfield Care Cener, LLC
- Deerfield Care Center, LLC
- David O. Degear
- Brittanee R Despres
All providers in New Richmond, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.