KATHERINE ROSE VAUGHAN DDS
NPI 1619350006
Dentist in Faribault, MN

Q: What is Katherine Vaughan's NPI number?

The NPI number for Katherine Vaughan is 1619350006. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Q: What is Katherine Vaughan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Vaughan was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 July 02, 2015PECOS Enrolled

400 4TH ST NW, FARIBAULT, MN 55021(507) 384-6830(651) 431-7757 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2025, Jul 20, 2020 (2 updates tracked since 2020).

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About Katherine Rose Vaughan Dds NPPES

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

KATHERINE ROSE VAUGHAN DDS (NPI 1619350006) is an individual dentist in Faribault, Minnesota, licensed in Minnesota (D13579) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619350006

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATHERINE ROSE VAUGHANCredential: DDS

Location Address400 4TH ST NWFaribault, MN 55021-5089

Mailing Address400 4th St NwFaribault, MN 55021-5089

Phone(507) 384-6830

Fax(651) 431-7757

Sole ProprietorYes

Enumeration DateJuly 2, 2015

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1619350006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13579

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D13579 (MN)

400 4TH ST NW, Faribault, MN 55021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rose Vaughan Dds 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.

Medicare Billing Reassignments

Medicare enrollment records show Katherine Vaughan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Cities Clinic

Same address

General Practice

400 4TH ST NW
Faribault, MN 55021

Reassigned Medicare billing, Minnesota enrollment
12 clinicians in this Medicare group

NPI 1437218740 (507) 384-6830

Group Health, Inc.

30 mi

General Practice

15350 ENGLISH AVE
Apple Valley, MN 55124

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1073668877 (952) 431-8583

Anoka Metro Regional Treatment Center

64 mi

Psychiatric Hospital

3301 7TH AVE
Anoka, MN 55303

Reassigned Medicare billing, Minnesota enrollment
36 clinicians in this Medicare group

NPI 1275585564 (763) 712-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55021 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 17

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

MR. ERIK MICHAEL ADOLPHSON LICSW

Social Worker (Clinical)

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

CAROL JOAN PEITZMAN APRN, CNS

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

CHERYL JOAN PALMER ERICKSON

Dental Hygienist

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 210-1436

LINDA M MAYTAN DDS

Student in an Organized Health Care Education/Training Program

400 4TH ST NW, SUITE A3A
FARIBAULT, MN 55021

Rice County (507) 384-6830

THOMAS ARTHUR MANS ADT

Advanced Practice Dental Therapist

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

KYLEEANN SOPHIA STEVENS M.D.

Psychiatry & Neurology (Forensic Psychiatry)

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

SOUTHERN CITIES CLINIC

General Practice

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

KRISTA ANDROS

Dental Hygienist

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

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 Katherine Vaughan's NPI number?

The NPI number for Katherine Vaughan is 1619350006. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Katherine Vaughan located?

Katherine Vaughan practices at 400 4th St NW, Faribault, MN 55021. The listed phone number is (507) 384-6830.

What is Katherine Vaughan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Katherine Vaughan enrolled in Medicare?

Yes. Katherine Vaughan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Vaughan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Vaughan reassigns Medicare benefits to 3 organizations: Southern Cities Clinic (Faribault, MN), Group Health, Inc. (Apple Valley, MN) and Anoka Metro Regional Treatment Center (Anoka, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Vaughan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Vaughan was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.