Active NPI
Hannah Marie Balder, APRN CNP
- Pediatric Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 9617
- Practice address
- 2535 University Ave SE
Minneapolis, MN 55414-3205 - Phone
- (612) 672-2350
- Fax
- (612) 672-1827
- NPI assigned
- Dec 23, 2022
- Last updated
- Feb 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 9617 | MN | Primary |
| Pediatrics Physician | 208000000X | 9617 | MN |
Addresses
Primary practice location
2535 University Ave SE
Minneapolis, MN 55414-3205
Mailing address
2647 Greenmeadow CT
Stillwater, MN 55082-5406
Phone (612) 735-4135
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hannah.balder@fairview.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9617 | MN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2535 University Ave SE
Minneapolis, MN 55414
Phone (612) 672-2350
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
Interoperability endpoints
- hbalder376699@fairview.direct-ci.com
Organizations & group practices 4
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.
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba Fairview Clinics-University Children's
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1245422021
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
dba Fairview Clinics-Maple Grove
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1467164277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 GREENMEADOW CT",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825406",
"telephone_number": "612-735-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 UNIVERSITY AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143205",
"telephone_number": "612-672-2350",
"fax_number": "612-672-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDER",
"first_name": "HANNAH",
"middle_name": "MARIE",
"credential": "APRN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-23",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "9617",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "9617",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hannah.balder@fairview.org",
"affiliation": "N",
"endpointDescription": "employer email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2535 University Ave SE",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554143205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.