Individual provider Active NPI

Bridget Ann Sundell, MD

  • Ophthalmology Physician
  • Virginia, MN
National Provider Identifier
1871691295
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
44402 Issued in MN
Practice address
602 N 6TH Ave W
Virginia, MN 55792-5579
Phone
(218) 741-4111
Fax
(218) 741-8966
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 44402 MN Primary

Addresses

Primary practice location

602 N 6TH Ave W
Virginia, MN 55792-5579

Mailing address

602 N 6TH Ave
Virginia, MN 55792-2339
Phone (218) 741-4411

Other identifiers 2

IdentifierTypeStateIssuer
44402OtherMNSTATE MEDICAL LICENSE NUM
033709900MedicaidMN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000944 MN Practitioner - Ophthalmology 1153490669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sundell Eye Associates, PAGroup PAC ID 3971796723, 3 clinicians

Practice addresses (Care Compare)

602 N 6TH Ave W
Virginia, MN 55792-2375
Phone (218) 741-4411

Merit-based Incentive Payment System (MIPS)

Final score
78.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
27.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sundell Anesthesia LLC Current Accepting new patients
Sundell Eye Associates, PA Ophthalmology CurrentSince Oct 1, 2010 Accepting new patients
Northwoods Surgery Center LLC PastSince Apr 4, 2013 Accepting new patients

Locations

602 N 6th Ave
Virginia, MN 55792
Phone (218) 741-4111

901 9th St N
Ste 219
Virginia, MN 55792
Phone (218) 741-4411

Interoperability endpoints

  • Direct secure messaging: bsundell@sundelleye.intellechartdirect.net

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1871691295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N 6TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922339",
            "telephone_number": "218-741-4411",
            "fax_number": "218-741-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N 6TH AVE W",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557925579",
            "telephone_number": "218-741-4111",
            "fax_number": "218-741-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDELL",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "44402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUM",
            "identifier": "44402",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033709900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.