NPIMap

Individual provider Active NPI

Rachelle Dawn Vandegriend, CNP

  • Family Nurse Practitioner
  • Luverne, MN
National Provider Identifier
1659849784
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6273 Issued in MN
Practice address
1601 Sioux Valley Dr
Luverne, MN 56156-4500
Phone
(507) 283-4476
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6273 MN Primary
Family Nurse Practitioner 363LF0000X A152458 IA

Addresses

Primary practice location

1601 Sioux Valley Dr
Luverne, MN 56156-4500

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

803 S Greene Street
Rock Rapids, IA 51246-5124
Phone (712) 472-3716

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
I20190403002684 MN Practitioner - Nurse Practitioner 8426399205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800

1601 Sioux Valley Dr
Luverne, MN 56156-4500
Phone (507) 283-4476

201 Maine Ave
Adrian, MN 56110-1214
Phone (507) 483-2668

733 Main St
Suite a
Edgerton, MN 56128-3000
Phone (507) 631-4476

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A152458IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Aug 25, 2022 Accepting new patients
Sanford Health Network CurrentSince Oct 26, 2022 Accepting new patients
Sanford Clinic CurrentSince Sep 12, 2022 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Clinic CurrentSince Sep 12, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 25, 2022 Accepting new patients
Sanford Health Network CurrentSince Oct 26, 2022 Accepting new patients
Sanford Health Network Past Accepting new patients

Locations

201 Maine Ave
Adrian, MN 56110
Phone (507) 483-2668

601 Louisiana Ave
Adrian, MN 56110
Phone (507) 483-2668

733 Main St
Ste A
Edgerton, MN 56128
Phone (507) 449-1500

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1659849784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SIOUX VALLEY DR",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561564500",
            "telephone_number": "507-283-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 S Greene Street",
            "address_purpose": "LOCATION",
            "city": "Rock Rapids",
            "state": "IA",
            "postal_code": "512465124",
            "country_code": "US",
            "telephone_number": "712-472-3716",
            "fax_number": "712-472-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEGRIEND",
        "first_name": "RACHELLE",
        "middle_name": "DAWN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6273",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A152458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, MN

Sources for this page

Verify at the official NPI Registry.