Individual provider Active NPI

Holly Christine Hanson, M.D.

  • Dermatology Physician
  • Eden Prairie, MN
National Provider Identifier
1023337946
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
55607 Issued in MN
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819002217 MN Practitioner - Dermatology 3173740966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

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 100Reported as group
Quality
53.64
Promoting interoperability
100
Improvement activities
40
Cost
88.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions339
Removal or shaving of skin growth27
Skin biopsy92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55607MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Skin Care Specialists, PA Dermatology CurrentSince Aug 18, 2014 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.

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

Verify at the official NPI Registry.