ELLISANDRE MORGAN LARRABEE DARAGON
NPI 1639412125
Emergency Medicine in Saint Paul, MN

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 27, 2021, May 10, 2019, Apr 4, 2019 and 2 more (5 updates tracked since 2016).

About Ellisandre Morgan Larrabee Daragon NPPES

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

ELLISANDRE MORGAN LARRABEE DARAGON (NPI 1639412125) is an individual emergency medicine provider in Saint Paul, Minnesota, licensed in Idaho (M13548) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Mountain View Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639412125
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameELLISANDRE MORGAN LARRABEE DARAGON
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address7500 Rialto Blvd Ste 1-140Austin, TX 78735-8534 · (512) 730-3056 · Fax (888) 730-1925
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateSeptember 27, 20215 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
NPI 1639412125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in ID · M13548 Licensed in UT · 9662057-1205 Licensed in WI · 68799-20 Licensed in MO · 2017034039
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
640 JACKSON ST, Saint Paul, MN 55101

Secondary Practice Locations 4

Location 1535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600
Location 2405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000
Location 3927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330
Location 4265 Griffin St EAmery, WI 54001-1439 · Phone (715) 268-8000

Accepted 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

Ellisandre Morgan Larrabee Daragon 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 ID7517269178
PECOS Enrollment IDI20180110001041
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
274 services259 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
178 services176 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
44 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$15.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$80.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Ellisandre Daragon's NPI number?

The NPI number for Ellisandre Daragon is 1639412125. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Ellisandre Daragon located?

Ellisandre Daragon practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Ellisandre Daragon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ellisandre Daragon enrolled in Medicare?

Yes. Ellisandre Daragon 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 Ellisandre Daragon accept?

Health plans from Medica and Molina Healthcare list Ellisandre Daragon 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 Ellisandre Daragon affiliated with any hospitals?

According to CMS data, Ellisandre Daragon is affiliated with Mountain View Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ellisandre Daragon was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.