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

Samuel J Vaagen, PA-C

Individual provider Medical Physician Assistant · NPI 1164603783

Samuel J Vaagen, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2007, 19 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
19
Licensed in
MN, ND
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2400 32nd Ave S
Fargo, ND 58103-5800
Phone: (701) 234-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 Smith Ave N Ste 370, Saint Paul, MN 55102-2383 — (651) 968-5250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0567 (ND)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PAC0567 (ND)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10359 (MN)

Record details

NPI number1164603783
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 26, 2007
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo