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Madeline Rose Dorn , PA-C

Physician Assistant β€’ Saint Cloud, MN

Active NPI 1043900475 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1900 Centracare Cir Ste 2400
Saint Cloud, MN 563035000

Call 3202294916 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1900 Centracare Cir Ste 2400

Saint Cloud, MN 563035000

Telephone 3202294916
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: St Cloud Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Madeline Dorn has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Madeline Dorn as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Cloud and Minnesota

66 active clinicians are listed under Physician Assistant with a practice address in Saint Cloud, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

22.7% of these 66 clinicians have the CMS telehealth indicator.

77.3% of these 66 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 15275

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250305001771

Enrollment State Jurisdiction

MN

PECOS Control ID

8820519994

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St Cloud Hospital

110 2nd St S, Waite Park, MN 563871367

Phone: 3202599375

St Cloud Hospital

1406 6th Ave N, Saint Cloud, MN 563031900

Phone: 3202512700

St Cloud Hospital

1900 Centracare Cir, Saint Cloud, MN 563035000

Phone: 3202522422

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Sarah Campos , MSN, APRN, A-GNP-C

Nurse Practitioner - Adult Health

NPI 1790266559

Master of Science in Nursing, Advanced Practice Registered Nurse, Adult-Gerontology Nurse Practitioner (Certified)

Sarah Eid , CNP

Family Medicine

NPI 1124774609

Certified Nurse Practitioner

Dr. Jaclyn Jacobs , MD

Internal Medicine - Gastroenterology

NPI 1356760987

Doctor of Medicine (M.D.)

Bailey Knoblock , PA-C

Physician Assistant

NPI 1972079523

Physician Assistant (Certified)

Dr. Daniel Kraft , MD

Internal Medicine - Gastroenterology

NPI 1982737938

Doctor of Medicine (M.D.)

Morgan Matter , RD, LD

Dietitian, Registered

NPI 1629681119

Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 24, 2026

Recorded as MADELINE DORN, PA-C

πŸ“
Updated Practice Location April 10, 2025

Registered at 1900 CENTRACARE CIR STE 2400, SAINT CLOUD, MN 563035000 (Tel: 3202294916)

πŸ“
Updated Business Mailing Address April 10, 2025

Registered at 1900 CENTRACARE CIR STE 2400, SAINT CLOUD, MN 563035000 (Tel: 3202294916)

πŸ‘€
Provider Name / Credentials Updated April 10, 2025

Recorded as MADELINE MACKINAC, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2025

Physician Assistant (license number reported to NPPES: MN 15275)

βœ…
NPI Profile Active May 09, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 09, 2023

Registered at 1320 W LOMBARD ST, DAVENPORT, IA 528042029 (Tel: 5633335827)

πŸ“
Business Mailing Address (Initial Record) May 09, 2023

Registered at 1320 W LOMBARD ST, DAVENPORT, IA 528042029 (Tel: 5633335827)

πŸ‘€
Provider Name / Credentials (Initial Record) May 09, 2023

Recorded as MADELINE MACKINAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 09, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043900475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2023
Last Update: June 24, 2026
Sole Proprietor: No

Other Physician Assistants in Saint Cloud

All Physician Assistants in Saint Cloud

Mailing Address

1900 Centracare Cir Ste 2400

Saint Cloud, MN 563035000

Phone: 3202294916

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.