Individual provider Active NPI

Kayla Dale Dascher, CNP

  • Family Nurse Practitioner
  • Lake City, MN
National Provider Identifier
1760614630
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R160106-8 Issued in MN
Practice address
500 W Grant St
Lake City, MN 55041-1143
Phone
(651) 345-3321
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Elizabeths Hospital of Wabasha Inc 93 clinicians

Practice addresses (Care Compare)

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

204 S Main St
Alma, WI 54610-7722
Phone (651) 565-5599

Hospital & facility affiliations

  • St Elizabeth Medical Center Hospital, Wabasha, MN, CCN 241335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090911000239 MN Practitioner - Nurse Practitioner 5294880431 Reassigns benefits to 2 organizations
I20181001001880 WI Practitioner - Nurse Practitioner 5294880431 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Jan 25, 2017 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Sep 1, 2018 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Sep 1, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Sep 1, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Past Accepting new patients

Locations

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

Interoperability endpoints

  • Direct secure messaging: kdascher472931@direct.emplifyhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R160106-8 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

500 W Grant St
Lake City, MN 55041-1143

Mailing address

500 W Grant St
Lake City, MN 55041-1143
Phone (651) 345-3321

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1760614630MedicaidMN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2014.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1760614630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GRANT ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411143",
            "telephone_number": "651-345-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GRANT ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411143",
            "telephone_number": "651-345-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASCHER",
        "first_name": "KAYLA",
        "middle_name": "DALE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R160106-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760614630",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MN

Sources for this page

Verify at the official NPI Registry.