Individual provider Active NPI

Holly M Chappel, PA-C

  • Physician Assistant
  • Shakopee, MN
National Provider Identifier
1275314577
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14633 Issued in MN
Practice address
1700 Saint Francis Ave Ste 200
Shakopee, MN 55379-5582
Phone
(952) 831-8742
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14633 MN Primary

Addresses

Primary practice location

1700 Saint Francis Ave Ste 200
Shakopee, MN 55379-5582

Mailing address

8170 33Rd Ave S
Bloomington, MN 55425-4516

Other practice location 1

4010 W 65th St
Edina, MN 55435-1706
Phone (952) 456-7000

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
I20231213000795 MN Practitioner - Physician Assistant 3971952128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians

Practice addresses (Care Compare)

6500 Excelsior Blvd
St Louis Park, MN 55426-4702

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Feb 18, 2024 Accepting new patients
Tria Orthopaedic Center LLC CurrentSince Oct 6, 2025 Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

225 Huseth St
Kenyon, MN 55946
Phone (507) 623-0123

9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

2014 Jefferson Rd
Northfield, MN 55057
Phone (507) 664-9999

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

1700 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 993-7800

1700 Saint Francis Ave
Ste 200
Shakopee, MN 55379

Organizations & group practices 10

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1275314577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAINT FRANCIS AVE STE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553795582",
            "telephone_number": "952-831-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 W 65th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554351706",
            "country_code": "US",
            "telephone_number": "952-456-7000",
            "fax_number": "952-456-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPEL",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.