Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124445952 Individual Practitioner Female Practitioner

Dawn E Soderstrom , NP-C

Nurse Practitioner • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Dawn Soderstrom, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Minnetonka, MN. Practice services are available at 9900 BREN RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Bren Rd E

Minnetonka, MN 553439664

Telephone 6305386120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
82 Specialists

Practicing in Minnetonka, MN (2609 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209011370

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Railroad Ptan (Individual)
P01356275 (IL)
Commercial Insurance / Payer ID Medicare Ptan (Individual0
F400132098 (IL)

Secondary Practice Locations

1804 S Tyler Rd

Saint Charles, IL 601744572

Phone: 6302517267

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003059478

NURSEPRACTITIONER

Alane Hartlage , NP

Nurse Practitioner - Gerontology

NPI 1003086703

Nurse Practitioner

Dawn Schaefer , NP

Nurse Practitioner

NPI 1003183880

Nurse Practitioner

Mellen Townsend

Nurse Practitioner - Family

NPI 1003462284
Raul Rodriguez , FNP

Nurse Practitioner - Family

NPI 1013261379

Family Nurse Practitioner

Karry Audain , APRN

Nurse Practitioner - Family

NPI 1013338441

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 26, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 6305386120)

📍
Updated Business Mailing Address June 26, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 6305386120)

NPI Profile Active October 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2017

Registered at 2020 DEAN ST STE G, ST CHARLES, IL 601741665 (Tel: 6305130298)

📍
Updated Business Mailing Address October 18, 2017

Registered at 4405 WEAVER PKWY, WARRENVILLE, IL 605553269 (Tel: 6309334950)

👤
Provider Name / Credentials Updated October 18, 2017

Recorded as DAWN SODERSTROM, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2017

Nurse Practitioner (License #209011370 in IL)

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2014

Registered at 4405 WEAVER PKWY, WARRENVILLE, IL 605553269 (Tel: 6309334950)

📍
Updated Business Mailing Address October 24, 2014

Registered at 4405 WEAVER PKWY, WARRENVILLE, IL 605553269 (Tel: 6309334950)

👤
Provider Name / Credentials Updated October 24, 2014

Recorded as DAWN SODERSTROM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Nurse Practitioner (License #209011370 in IL)

🟢
Initial NPI Registration & Enumeration March 18, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124445952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2014
Last Update: June 26, 2020
Sole Proprietor: No

Mailing Address

9900 Bren Rd E

Minnetonka, MN 553439664

Phone: 6305386120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.