Individual provider Active NPI

Gail L Danielson, PA-C

  • Physician Assistant
  • Rugby, ND
National Provider Identifier
1629178256
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0017 Issued in ND
Practice address
2975 Highway 2 E
Rugby, ND 58368-7801
Phone
(701) 776-5235
Fax
(701) 776-5297
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Association Past Accepting new patients
Good Samaritan Hospital Association Past Accepting new patients
Good Samaritan Hospital Association Past Accepting new patients
Good Samaritan Hospital Association Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0017 ND Primary

Addresses

NPPES NPI Registry

Primary practice location

2975 Highway 2 E
Rugby, ND 58368-7801

Mailing address

2975 Highway 2 E
Rugby, ND 58368-7801
Phone (701) 776-5235

Other practice location 1

215 Main St SE
Dunseith, ND 58329-0088
Phone (701) 244-5694

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1456479MedicaidND
N714229OtherNDMEDICARE PTAN
N26302OtherNDBLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2025.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1629178256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 HIGHWAY 2 E",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "telephone_number": "701-776-5235",
            "fax_number": "701-776-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 HIGHWAY 2 E",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "telephone_number": "701-776-5235",
            "fax_number": "701-776-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Main St SE",
            "address_purpose": "LOCATION",
            "city": "Dunseith",
            "state": "ND",
            "postal_code": "583290088",
            "country_code": "US",
            "telephone_number": "701-244-5694",
            "fax_number": "701-244-5329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "GAIL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456479",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N714229",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "N26302",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rugby, ND

Sources for this page

Verify at the official NPI Registry.