GWEN P NORDAHL PA-C NPI 1003004318
Physician Assistant in Fergus Falls, MN
About GWEN NORDAHL
Gwen Nordahl is a primary care provider established in Fergus Falls, Minnesota and her medical specialization is physician assistant with more than 14 years of experience. The NPI number of Gwen Nordahl is 1003004318 and was assigned on October 2007. The practitioner's primary taxonomy code is 363A00000X with license number 1065 (MN). The provider is registered as an individual and her NPI record was last updated 10 years ago.
A primary care provider (PCP) like Gwen P Nordahl Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Gwen Nordahl is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Gwen Nordahl is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Douglas County Hospital.
| NPI | 1003004318 |
| Provider Name | GWEN P NORDAHL PA-C |
| Provider Location Address | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 |
| Provider Mailing Address | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-11-2007 |
| Last Update Date | 07-09-2010 |
Primary Taxonomy
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 1065 |
| License State | MN |
| Taxonomy Description | A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
Business Address
GWEN P NORDAHL PA-C
712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537
Phone: (218) 736-8000
Fax: (218) 736-8757
Mailing Address
GWEN P NORDAHL PA-C
712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537
Phone: (218) 736-8000
Fax: (218) 736-8757
Medicare Participation
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gwen Nordahl is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| DOUGLAS COUNTY HOSPITAL | 111 17TH AVENUE EAST ALEXANDRIA, MN 56308 | (320) 762-1511 | Acute Care Hospitals | 240030 |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033205638 | MRS. JERILYN J. MITCHELL CNS, LP (PMHCNS-BC, Individual | Clinical Nurse Specialist | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1063422343 | PAUL S ETZELL MD Individual | Internal Medicine (Hematology & Oncology) | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1063434637 | STEVEN B THOM MD Individual | Ophthalmology | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1124049564 | LAWRENCE F. EISINGER MD Individual | Pediatrics | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1134149552 | MARIE BRAATEN NP Individual | Nurse Practitioner (Gerontology) | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1366420242 | DAVID W ELLISON MD Individual | Family Medicine | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1376512178 | DR. ROBERT S NOYES MD Individual | Emergency Medicine | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1407955479 | VALI ORANDI MD Individual | Radiology (Vascular & Interventional Radiology) | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1437231750 | MICHAEL J VANVALKENBURG MD Individual | Emergency Medicine | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1467552307 | ORLO WILLIAM PETTIT MD Individual | Obstetrics & Gynecology | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1528167244 | JAMES A MATTER MD Individual | Radiology (Diagnostic Radiology) | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1588764476 | SCOTT H SAMSON MD Individual | Internal Medicine | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1588765853 | EDWARD A WILLIAMS MD Individual | Orthopaedic Surgery | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1659464683 | PAUL SANDERSON MS Individual | Audiologist | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1750312856 | PATRICK J. STOY MD Individual | Internal Medicine | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1801996715 | DAVID J SANDERSON JR. MD Individual | Family Medicine | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1841235140 | STEPHEN D ASP MD Individual | Otolaryngology | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1902884554 | DR. SCOTT D PAULEY MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1902906225 | GREGORY M. SMITH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
| 1992898936 | JANICE HELENA NEEDHAM SPIES RD-LD,CDE Individual | Dietitian, Registered | 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 (218) 736-8000 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.