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

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: July 19, 2026.

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

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, maintains a secondary practice location in Eau Claire, 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
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

Secondary Practice Location 1

Location 11400 Bellinger StEau Claire, WI 54703-5222 · Phone (715) 838-5222

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

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


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Dermatology
200 1ST ST SW
ROCHESTER, MN 55905
Physician Assistant
200 1ST ST SW
ROCHESTER, MN 55905
Genetic Counselor, MS
200 1ST ST SW
ROCHESTER, MN 55905
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
200 1ST ST SW
ROCHESTER, MN 55905
Anesthesiology
200 1ST ST SW
ROCHESTER, MN 55905
Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Medical Oncology)
200 1ST ST SW
ROCHESTER, MN 55905
Obstetrics & Gynecology (Gynecology)
200 1ST ST SW
ROCHESTER, MN 55905
Surgery
200 1ST ST SW
ROCHESTER, MN 55905
Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Otolaryngology
200 1ST ST SW
ROCHESTER, MN 55905
Pediatrics
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Cardiovascular Disease)
200 1ST ST SW
ROCHESTER, MN 55905
Audiologist
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Neurology)
200 1ST ST SW
ROCHESTER, MN 55905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912153040, enumerated as an "individual" on August 08, 2008.

The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.