Individual provider Active NPI

Milgo Hassan, APRN, CNP, CNS

  • Nurse Practitioner
  • Edina, MN
National Provider Identifier
1003475690
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13456 Issued in MN
Practice address
6200 Xerxes Ave S
Edina, MN 55423-1033
Phone
(952) 925-8500
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 235467-3 MN
Clinical Nurse Specialist 364S00000X 617 MN
Nurse Practitioner 363L00000X 13456 MN Primary

Addresses

Primary practice location

6200 Xerxes Ave S
Edina, MN 55423-1033

Mailing address

15899 Elmhurst LN Unit 7202
Apple Valley, MN 55124-4023
Phone (817) 983-4481

Other identifiers 2

IdentifierTypeStateIssuer
21701470OtherMNCNP
235467-3OtherMNMINNESOTA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128003109 MN Practitioner - Nurse Practitioner 2466930730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Minnesota Medical School, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 E Rivulon Blvd
Suite 103
Gilbert, AZ 85297-0096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
235467-3MNMDCritical Care Medicine Registered Nurse
13456MNMDPhysician Assistant
617MNMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Minnesota PLLC CurrentSince Dec 21, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

6200 Xerxes Ave S
Edina, MN 55423
Phone (952) 925-4810

445 Galtier St
Saint Paul, MN 55103
Phone (651) 224-1848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1003475690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15899 ELMHURST LN UNIT 7202",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244023",
            "telephone_number": "817-983-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 XERXES AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554231033",
            "telephone_number": "952-925-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MILGO",
        "credential": "APRN, CNP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MN",
            "license": "235467-3",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "617",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "13456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP",
            "identifier": "21701470",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF NURSING",
            "identifier": "235467-3",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.