GINA SEJIN DAHLIN (PA-C) – Physician Assistant, NPI 1235109356

GINA SEJIN DAHLIN (PA-C) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9956 (MN). The NPI Number for GINA SEJIN DAHLIN (PA-C) is 1235109356

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
GINA SEJIN DAHLIN (PA-C)
NPI
1235109356
Phone
(952) 484-7661
Address
333 WASHINGTON AVE N
Enumeration Date
23 January 2006
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
6002838729
Group Practice PAC ID
5193623254
Professional Enrollment ID
I20051222000150
Address ID
MN551081737SA2265XAVEX308
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for GINA SEJIN DAHLIN (PA-C)

  • Union Plaza, 333, Washington Avenue North, Minneapolis, Hennepin County, Minnesota, 55401, United States

    MINNEAPOLIS, MN 554011377

    Phone: (952) 484-7661

    Type: Location

  • 4570, West 77th Street, Pentagon Park, Cahill, Edina, Hennepin County, Minnesota, 55435, United States

    STE 150

    EDINA, MN 554355038

    Phone: (952) 567-7400

    Fax: (952) 852-2356

    Type: Mailing

  • 777 RAYMOND AVE

    SAINT PAUL, MN 551141522

    Phone: (952) 484-7661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051222000150IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193623254View full group profile
NameSpecialtyState
Mental Health CounselorMN
-MN
Physician AssistantMN
Mental Health CounselorMN
Mental Health CounselorMN
Nurse PractitionerMN
-MN
-VA
Mental Health CounselorOH
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What unique ID ties claims to GINA SEJIN DAHLIN (PA-C)?
NPI 1235109356 is assigned to GINA SEJIN DAHLIN (PA-C) under the national enumeration system.
Is GINA SEJIN DAHLIN (PA-C) active in the national directory?
GINA SEJIN DAHLIN (PA-C)'s public NPI profile is in an active state.
What field does GINA SEJIN DAHLIN (PA-C) work in?
You can think of GINA SEJIN DAHLIN (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is GINA SEJIN DAHLIN (PA-C)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for GINA SEJIN DAHLIN (PA-C).
Is GINA SEJIN DAHLIN (PA-C) a real provider?
This page reflects official NPPES data for NPI 1235109356. Always confirm identity and privileges with the practice and licensing boards.

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