Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremiah Dagel, PA

Individual provider Physician Assistant · NPI 1366802290

Jeremiah Dagel, PA is a Physician Assistant in Detroit Lakes, Minnesota. Qualified in 2014, 12 years ago. Practices with Range Regional Health Services, a 346-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Dellwood St S, Cambridge, MN 55008-1920 — (763) 688-8700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12019 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 2390 (MN)

Record details

NPI number1366802290
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Range Regional Health Services — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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