DAWN E SODERSTROM NP-C
NPI 1124445952
Nurse Practitioner in Minnetonka, MN

Q: What is Dawn Soderstrom's NPI number?

The NPI number for Dawn Soderstrom is 1124445952. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Q: What is Dawn Soderstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Soderstrom was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 18, 2014PECOS Enrolled

9900 BREN RD E, MINNETONKA, MN 55343(630) 538-6120 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2020, Oct 18, 2017 (2 updates tracked since 2017).

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About Dawn E Soderstrom Np-c NPPES

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

DAWN E SODERSTROM NP-C (NPI 1124445952) is an individual nurse practitioner in Minnetonka, Minnesota, licensed in Illinois (209011370) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1124445952

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDAWN E SODERSTROMCredential: NP-C

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address9900 Bren Rd EMinnetonka, MN 55343-9664 · (630) 538-6120

Phone(630) 538-6120

Sole ProprietorNo

Enumeration DateMarch 18, 2014

Last NPPES UpdateJune 26, 20202 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1124445952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209011370

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9900 BREN RD E, Minnetonka, MN 55343

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Secondary Practice Location 1

Location 11804 S Tyler RdSaint Charles, IL 60174-4572 · Phone (630) 251-7267

Other Identifiers 2

OtherF400132098IL · Medicare Ptan (individual0

OtherP01356275IL · Medicare Railroad Ptan (individual)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Dawn E Soderstrom Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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.

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