Active NPI
Julie Estelle Macbain Hanna, M.D.
- Neurology Physician
- Roseville, MN
National Provider Identifier
1366634255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 50254
- Practice address
- 2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306 - Phone
- (651) 241-5290
- Fax
- (651) 241-5248
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 50254 | MN | Primary |
Addresses
Primary practice location
2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306
Mailing address
2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306
Phone (651) 241-5290
Other names 1
- Julie Estelle Macbain
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080910000601 | MN | Practitioner - Neurology | 5991871279 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Indiana University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2720 Fairview Ave N
Suite 100
Roseville, MN 55113-1306
Phone (651) 241-5290
Hospital & facility affiliations
- Abbott Northwestern Hospital
- Allina United Hospital
- Mercy Hospital
- Park Nicollet Methodist Hospital
- Ridgeview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Epilepsy Group PA | Neurology | Current | Accepting new patients |
| Allina Health System | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2720 Fairview Ave N
#100
Saint Paul, MN 55113
Phone (651) 241-5290
225 Smith Ave N
Ste 201
Saint Paul, MN 55102
Phone (651) 241-5290
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFDABA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1760446256
Hospital & facility affiliations 51
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1366634255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-241-5290",
"fax_number": "651-241-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-241-5290",
"fax_number": "651-241-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "JULIE",
"middle_name": "ESTELLE MACBAIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "50254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MACBAIN",
"middle_name": "ESTELLE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.