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Hennepin Healthcare System, Inc

Organization Active NPI Rehabilitation Hospital Unit · Minneapolis, MN

NPI 1033138136 · NPPES record last updated Oct 29, 2025

Key facts

NPI
1033138136
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
License
367142 (MN)
Legal business name
HENNEPIN HEALTHCARE SYSTEM, INC
Practice address
701 Park Ave
P1-Finance
Minneapolis, MN 55415-1623
Phone
(612) 873-3000
Fax
(612) 904-4259
NPI assigned
Jul 19, 2006
Organization subpart
No

Authorized official

Name
Lisa Anderson
Title
Cfo
Phone
(612) 873-9505

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 1,469

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,469

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Miland E Knapp Rehab Center CCN 24T004
Ownership
Government
Certified
Sep 11, 1996

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Hospital certification: CCN 24T004

Legal name
HENNEPIN HEALTHCARE SYSTEM INC
Doing business as
HENNEPIN COUNTY MEDICAL CENTER
Organization structure
Corporation · Non-profit
Enrollment address
701 Park Ave
Minneapolis, MN 55415-1623
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles Merten Esler
Individual 		Corporate Officer
VP of Finance		 Jan 21, 2026
W-2 Managing Employee
VP of Finance		 Jan 21, 2026
Abdirahman Ibrahim Abdi
Individual 		Corporate Officer
Chief Financial Officer		 Jan 22, 2026
W-2 Managing Employee
Chief Financial Officer		 Jan 22, 2026
Irene Krissie Fernando
Individual 		Corporate Director
Director		 Jan 1, 2020
Kevin Michael Anderson
Individual 		Corporate Director
Board Member		 Aug 12, 2025
Angela Marie Conley
Individual 		Corporate Director
Board Member		 Aug 12, 2025
Marion Greene
Individual 		Corporate Director Jan 1, 2019
Heather May Edelson
Individual 		Corporate Director
Board Member		 Aug 12, 2025
Deborah Ruth Goettel
Individual 		Corporate Director
Board Member		 Aug 12, 2025
Hennepin County
Organization · Minneapolis, MN 		Operational/Managerial Control Nov 29, 2006 100%
Jeffrey Joneal Lunde
Individual 		Corporate Director
Board Member		 Aug 12, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070115000243 MN Part a Provider - Hospital 4789684861 Practice locations: Minneapolis, MN
O20070207000467 MN Part B Supplier - Clinic/Group Practice 4789684861 Receives reassigned benefits from 1,402 practitioners
6 other NPIs on this enrollment
Practice locations: Brooklyn Park, MN; St Anthony, MN; Richfield, MN; Minneapolis, MN; Golden Valley, MN

National Provider Directory

Locations

10458 Culver Blvd
Culver City, CA 90232
Phone (310) 423-0471

3633 Chicago Ave
Minneapolis, MN 55407
Phone (612) 821-8663

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 367142 MN Yes

Addresses

Primary practice location

701 Park Ave
P1-Finance
Minneapolis, MN 55415-1623

Mailing address

701 Park Ave
P1-Finance
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Other identifiers

IdentifierTypeStateIssuer
157245801MedicaidMN
41-6005801OtherMNEMPLOYER IDENTIFICATION N
06922HEOtherMNBLUE SHIELD
64788HEOtherMNBLUE SHIELD
1020HHEOtherMNBLUE CROSS

Other names

  • Hennepin County Medical Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL suncoastrhiohih.net Other Suncoast RHIO, Inc.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2025.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1033138136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "P1-FINANCE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000",
            "fax_number": "612-904-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "P1-FINANCE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000",
            "fax_number": "612-904-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-873-9505"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MN",
            "license": "367142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157245801",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION N",
            "identifier": "41-6005801",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "06922HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "64788HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1020HHE",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "suncoastrhiohih.net",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1588.1",
            "affiliationName": "Suncoast RHIO, Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "5020 Clark Rd # 127",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342333231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hennepin County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hennepin County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Rehabilitation Hospital Unit in Minnesota

Sources for this page

Verify at the official NPI Registry.