Individual provider Active NPI

Ana Rae Dauschmidt, PA-C

  • Physician Assistant
  • Edina, MN
National Provider Identifier
1740758176
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12797 Issued in MN
Practice address
4100 Minnesota Dr Ste 310
Edina, MN 55435-5417
Phone
(952) 929-5600
Fax
(952) 929-5610
NPI assigned
Nov 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 12797 MN Primary

Addresses

Primary practice location

4100 Minnesota Dr Ste 310
Edina, MN 55435-5417

Mailing address

4100 Minnesota Dr Ste 310
Edina, MN 55435-5417
Phone (952) 929-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Robbinsdale

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206002067 MN Practitioner - Physician Assistant 8820332505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

1099 Helmo Ave N
Suite 220
Oakdale, MN 55128-6034
Phone (952) 929-5600

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

4100 Minnesota Dr
Edina, MN 55435-5417
Phone (952) 456-7000

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12797MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Apr 15, 2021 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Apr 15, 2021 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

4100 Minnesota Dr
Ste 310
Edina, MN 55435
Phone (952) 838-0650

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

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.

NPI Registry JSON

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1740758176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MINNESOTA DR STE 310",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355417",
            "telephone_number": "952-929-5600",
            "fax_number": "952-929-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MINNESOTA DR STE 310",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355417",
            "telephone_number": "952-929-5600",
            "fax_number": "952-929-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUSCHMIDT",
        "first_name": "ANA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Robbinsdale",
            "affiliation": "N",
            "address_1": "3300 Oakdale Ave N",
            "city": "Robbinsdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554222926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.