CHARLOTTE S VAN DORN MD
NPI 1912153040
Pediatrics - Pediatric Critical Care Medicine in Rochester, MN
About Charlotte S Van Dorn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLOTTE S VAN DORN MD (NPI 1912153040) is an individual pediatric critical care medicine provider in Rochester, Minnesota, licensed in Minnesota (52110) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eau Claire.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlotte S Van Dorn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Charlotte Van Dorn reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
Lake City, MN 55041
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1164463659 (Minnesota)
- 675 clinicians in this Medicare group
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- 1,571 clinicians in this Medicare group
Waseca, MN 56093
- Reassigned Medicare billing, Minnesota enrollment
- 1,572 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Minnesota enrollment
- 330 clinicians in this Medicare group
Menomonie, WI 54751
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 251 clinicians in this Medicare group
Fairmont, MN 56031
- Reassigned Medicare billing, Minnesota enrollment
- 806 clinicians in this Medicare group
Saint James, MN 56081
- Reassigned Medicare billing, Minnesota enrollment
- 592 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 Charlotte Van Dorn's NPI number?
The NPI number for Charlotte Van Dorn is 1912153040. It was assigned to this individual provider in the NPPES registry on August 8, 2008.
Where is Charlotte Van Dorn located?
Charlotte Van Dorn practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Charlotte Van Dorn's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Charlotte Van Dorn enrolled in Medicare?
Yes. Charlotte Van Dorn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Charlotte Van Dorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Van Dorn reassigns Medicare benefits to 8 organizations: Mayo Clinic (Rochester, MN), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI) and 3 more organizations, listed in the Medicare section above. 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 Charlotte Van Dorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlotte Van Dorn accept?
Health plans from HealthPartners, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Charlotte Van Dorn 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.
When was this NPI record last updated?
The NPPES record for Charlotte Van Dorn was last updated on August 21, 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.
# Charlotte S Van Dorn, MD · NPI 1912153040
Pediatric Critical Care Medicine physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since August 8, 2008.
## Identity
- **NPI:** 1912153040 (Entity type: Individual)
- **Enumerated:** August 8, 2008
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 52110 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-0001
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic (NPI 1114343860, Rochester, MN); Mayo Clinic Health System-Lake City (NPI 1538113022, Lake City, MN); Mayo Clinic Health System-Southeast Minnesota Region (NPI 1114453883, Red Wing, MN); Mayo Clinic Health System-Southwest Minnesota Region (NPI 1518494251, Waseca, MN); Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1912153040) · Data from the CMS NPPES public registry.