Sommer Nicole Vaughan, PA-C - Medicare Physician Assistant in Waconia, MN

Sommer Nicole Vaughan, PA-C is a medicare enrolled "Physician Assistant" in Waconia, Minnesota. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Infinite Health Collaborative Pa and her current practice location is 560 S Maple St, Suite 200, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-2163.

Sommer Nicole Vaughan is licensed to practice in Minnesota (license number 9844) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104932748.

Contact Information

Sommer Nicole Vaughan, PA-C
560 S Maple St, Suite 200,
Waconia, MN 55387-1733
(952) 442-2163
(952) 442-5903

Map and Direction




Provider's Profile

Full NameSommer Nicole Vaughan
GenderFemale
SpecialityPhysician Assistant
Experience21 Years
Location560 S Maple St, Waconia, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sommer Nicole Vaughan graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1104932748
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 09/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4880647403
  • Enrollment ID: I20050223000768

Medical Identifiers

Medical identifiers for Sommer Nicole Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104932748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9844 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ridgeview Medical CenterWaconia, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Infinite Health Collaborative Pa1052225042772

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sommer Nicole Vaughan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sommer Nicole Vaughan, PA-C
4200 Dahlberg Dr, Suite 300,
Golden Valley, MN 55422-4840

Ph: (952) 512-5600
Sommer Nicole Vaughan, PA-C
560 S Maple St, Suite 200,
Waconia, MN 55387-1733

Ph: (952) 442-2163

Reviews and Comments


Physician Assistant Nurses in Waconia, MN

Laurie K. Grotzinger, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 560 S Maple St, Suite 400, Waconia, MN 55387
Phone: 952-442-7804    
Nicole J Charles, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    Fax: 952-974-3201
Elizabeth Anne Radke, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Sarah Talbott, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Morgan Malley, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387
Phone: 952-442-2163    
Jason Hicks, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.