1. Home
  2. Directory
  3. Minnesota
  4. Waconia
  5. Physician Assistant
  6. NPI Profile

SOMMER NICOLE VAUGHAN PA-C
NPI 1104932748
Physician Assistant in Waconia, MN

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
560 S MAPLE ST, SUITE 200, WACONIA, MN 55387(952) 442-2163(952) 442-5903 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sommer Nicole Vaughan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOMMER NICOLE VAUGHAN PA-C (NPI 1104932748) is an individual physician assistant in Waconia, Minnesota, licensed in Minnesota (9844) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104932748
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOMMER NICOLE VAUGHANCredential: PA-C
Location Address560 S MAPLE ST, SUITE 200Waconia, MN 55387-1733
Mailing Address4200 Dahlberg Dr, Suite 300Golden Valley, MN 55422-4840 · (952) 512-5600 · Fax (952) 512-5651
Phone(952) 442-2163
Fax(952) 442-5903
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1104932748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9844
Definition
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.
560 S MAPLE ST, Waconia, MN 55387
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sommer Nicole Vaughan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880647403
PECOS Enrollment IDI20050223000768
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
356 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
70 services36 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
57 services55 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
46 services45 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
23 services23 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
21 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID CHARLES EGGERT M.D.
Orthopaedic Surgery (Sports Medicine)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
KATELYNN MARIE WALSH MS, LAT, ATC, EMT
Specialist/Technologist (Athletic Trainer)
560 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 843-8505
MRS. MEGHAN M KOLUMBUS A.T.C.
Specialist/Technologist (Athletic Trainer)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
WESTERN OB/GYN LTD
Obstetrics & Gynecology
560 S MAPLE ST, SUITE 130
WACONIA, MN 55387
Carver County (952) 442-2137
SCOTT MYRON HOLTHUSEN MD
Orthopaedic Surgery (Foot and Ankle Surgery)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
ANDRAYA J HULDEEN-TIBBETTS M.D.
Obstetrics & Gynecology
560 S MAPLE ST, SUITE 130
WACONIA, MN 55387
Carver County (952) 442-2137
ROBERT MCCELLAN BARNETT JR. MD
Orthopaedic Surgery
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
DR. ROBERT EUGENE SWANSON O.D.
Optometrist
560 S MAPLE ST, SUITE 110
WACONIA, MN 55387
Carver County (952) 442-4445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sommer Vaughan's NPI number?

The NPI number for Sommer Vaughan is 1104932748. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Sommer Vaughan located?

Sommer Vaughan practices at 560 S Maple St Suite 200, Waconia, MN 55387. The listed phone number is (952) 442-2163.

What is Sommer Vaughan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sommer Vaughan enrolled in Medicare?

Yes. Sommer Vaughan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sommer Vaughan accept?

Health plans from HealthPartners and Medica list Sommer Vaughan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sommer Vaughan affiliated with any hospitals?

According to CMS data, Sommer Vaughan is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Sommer Vaughan was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.