Active NPI
Rachel Dubbink, PA-C
- Physician Assistant
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14599
- Practice address
- 2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243 - Phone
- (651) 471-9400
- NPI assigned
- Jan 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 14599 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Mailing address
2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone (651) 471-9400
Other practice location 1
4350 US 421 S
Lillington, NC 27546-6760
Phone (910) 893-1210
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929002054 | MN | Practitioner - Physician Assistant | 5193179729 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000
1700 University Ave W
Saint Paul, MN 55104-3727
Hospital & facility affiliations
- M Health Fairview St John'S Hospital
- M Health Fairview Woodwinds Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14599 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Pediatric Dental Clinic | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
2945 Hazelwood St
Ste 305
Maplewood, MN 55109
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
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
2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
Interoperability endpoints
- rdubbink414857@fairview.direct-ci.com
Organizations & group practices 11
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.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
MN
-
- Cardiovascular Disease Physician
- Minneapolis, MN
- NPI 1629224258
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
- Dentist
- Minneapolis, MN
- NPI 1992075287
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
-
- Clinic/Center
- Saint Paul, MN
- NPI 1871549741
Hospital & facility affiliations 2
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": "1672876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1649984584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091243",
"telephone_number": "651-471-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091243",
"telephone_number": "651-471-9400"
}
],
"practiceLocations": [
{
"address_1": "4350 US 421 S",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275466760",
"country_code": "US",
"telephone_number": "910-893-1210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBBINK",
"first_name": "RACHEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-05",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.