Individual provider Active NPI

Eric Harl, PA-C

  • Medical Physician Assistant
  • Shakopee, MN
National Provider Identifier
1336297043
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9564 Issued in MN
Practice address
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone
(952) 993-7750
NPI assigned
Jan 8, 2007
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 093 VI
Medical Physician Assistant 363AM0700X 9564 MN Primary

Addresses

Primary practice location

1415 Saint Francis Ave
Shakopee, MN 55379-3374

Mailing address

8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516

Other practice location 1

1221 W Lake St Ste 208
Minneapolis, MN 55408-3565
Phone (612) 455-3200

Other practice location 2

6500 Red Hook Plz Ste 205
St Thomas, VI 00802-1346
Phone (340) 775-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040816000787 MN Practitioner - Physician Assistant 6507839834 Reassigns benefits to 2 organizations
I20220919001358 VI Practitioner - Physician Assistant 6507839834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Dermatology and Skin Spa, P.a.Group PAC ID 6507817608, 2 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians
Red Hook Family Practice P.C.Group PAC ID 5496978363, 7 clinicians

Practice addresses (Care Compare)

1221 W Lake St
Suite 208
Minneapolis, MN 55408-3565
Phone (612) 455-3200

1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-7750

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1346
Phone (340) 775-2303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
59.24
Improvement activities
40
Cost
97.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
093VIMDMedical Physician Assistant

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1336297043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 SAINT FRANCIS AVE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793374",
            "telephone_number": "952-993-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Lake St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554083565",
            "country_code": "US",
            "telephone_number": "612-455-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Red Hook Plz Ste 205",
            "address_purpose": "LOCATION",
            "city": "St Thomas",
            "state": "VI",
            "postal_code": "008021346",
            "country_code": "US",
            "telephone_number": "340-775-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARL",
        "first_name": "ERIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VI",
            "license": "093",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.