CHARLOTTE S VAN DORN MD
NPI 1912153040
Pediatrics - Pediatric Critical Care Medicine in Rochester, MN

Q: 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.

Q: 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.

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2020, Jan 18, 2019, Jan 11, 2018 and 1 more (4 updates tracked since 2016).

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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 is a graduate of Other (2008).

NPPES Registry Identity

NPI1912153040

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameCHARLOTTE S VAN DORNCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 8, 2008

Last NPPES UpdateAugust 21, 20204 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1912153040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in MN · 52110✔ Licensed in WI · 68164

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 52110 (MN)

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

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

Charlotte S Van Dorn Md 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 ID5991842171

PECOS Enrollment IDI20091020000555

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.

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.

EMILY LEASURE MD

Internal Medicine