Dane S Durdall , PA-C
Physician Assistant • St Cloud, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dane Durdall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dane Durdall, PA-C was a registered Physician Assistant practicing in St Cloud, MN. Throughout an active medical career spanning 17 years, Dane Durdall provided care at the practice location at 1245 15TH ST N until profile deactivation on 2023-11-29.
Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1245 15th St N
St Cloud, MN 563031802
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in St Cloud, MN
Practicing in St Cloud, MN (4026 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
13 | 12 | $207.00 | $57.55 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Certified Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 29, 2023
Registered at 2831 SNELLING AVE N, ROSEVILLE, MN 551131712 (Tel: 6517655900)
Registered at 430 GREAT OAK DR, WAITE PARK, MN 563872504 (Tel: 3202032400)
Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516
NPI status registered as active in NPPES database
Registered at 1245 15TH ST N, ST CLOUD, MN 563031802 (Tel: 3202535200)
Registered at 8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528837172)
Recorded as DANE DURDALL, PA C
Physician Assistant (License #9224 in MN)
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
Mailing Address
8100 34th Ave S, Mc21110q
Bloomington, MN 554251672
Phone: 9528837172
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