Active NPI
Holly Christine Hanson, M.D.
- Dermatology Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 55607
- Practice address
- 18315 Cascade Dr.
Suite 150
Eden Prairie, MN 55347 - Phone
- (952) 934-7336
- Fax
- (952) 934-7488
- NPI assigned
- May 18, 2010
- Last updated
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 55607 | MN | Primary |
Addresses
Primary practice location
18315 Cascade Dr.
Suite 150
Eden Prairie, MN 55347
Mailing address
18315 Cascade Dr.
Suite 150
Eden Prairie, MN 55347
Phone (952) 934-7336
Other names 1
- Dr. Holly Christine Engasser
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18315 Cascade Dr
Suite 150
Eden Prairie, MN 55347-1185
Phone (763) 571-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.79 of 100
- Quality
- 53.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 339 |
| Removal or shaving of skin growth | 27 |
| Skin biopsy | 92 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55607 | MN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Skin Care Specialists, PA | Dermatology | Current | Accepting new patients |
Locations
18315 Cascade Dr
Ste 150
Eden Prairie, MN 55347
Phone (763) 571-4000
500 Osborne Rd NE
Ste 330
Fridley, MN 55432
Phone (763) 571-4000
9600 Upland Ln N
Ste 250
Maple Grove, MN 55369
Phone (763) 416-2380
119 14th St NW
Ste 240
Saint Paul, MN 55112
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Coon Rapids, MN
- NPI 1083659569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1023337946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18315 CASCADE DR.",
"address_2": "SUITE 150",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55347",
"telephone_number": "952-934-7336",
"fax_number": "952-934-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18315 CASCADE DR.",
"address_2": "SUITE 150",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55347",
"telephone_number": "952-934-7336",
"fax_number": "952-934-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "HOLLY",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "55607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "ENGASSER",
"middle_name": "CHRISTINE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.