Active NPI
Hailey Grace Thom
- Physician Assistant
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15539
- Practice address
- 800 E 28TH St Ste 401
Minneapolis, MN 55407-3723 - Phone
- (612) 863-0200
- Fax
- (612) 863-0235
- NPI assigned
- Apr 30, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15539 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St Ste 401
Minneapolis, MN 55407-3723
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 1
2 Pine Tree Dr
Arden Hills, MN 55112-3754
Phone (651) 635-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hthom670122@excellian.direct.allina.com | 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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E 28TH St
Suite 401
Minneapolis, MN 55407-3723
Phone (612) 863-0200
Hospital & facility affiliations
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15539 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
800 E 28th St
Ste 401
Minneapolis, MN 55407
Phone (612) 863-0200
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
11850 Blackfoot St NW
Ste 300
Minneapolis, MN 55433
Phone (763) 236-0808
913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212
2855 Campus Dr
Ste 150
Plymouth, MN 55441
Phone (763) 577-7676
225 Smith Ave N
Ste 200
Saint Paul, MN 55102
Phone (651) 241-5111
Interoperability endpoints
- hthom670122@excellian.direct.allina.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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Oncology Clinic/Center
- Edina, MN
- NPI 1023993672
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
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": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1487400347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST STE 401",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073723",
"telephone_number": "612-863-0200",
"fax_number": "612-863-0235"
}
],
"practiceLocations": [
{
"address_1": "2 Pine Tree Dr",
"address_purpose": "LOCATION",
"city": "Arden Hills",
"state": "MN",
"postal_code": "551123754",
"country_code": "US",
"telephone_number": "651-635-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOM",
"first_name": "HAILEY",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "15539",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hthom670122@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "800 E 28th St Ste 401",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554073723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Minneapolis, MN
- William Tyler Thoen, RDN
- Venkatakrishna Narasimhamurthy Tholakanahalli, MBBS
- Krista Marie Thole, OT
- Jillian Theresa Tholen, M.S., R.D.N., L.D.
- Richard H Tholen, MD
- Michael John Thomann
- Nickitas Bernard-Aristides Thomarios, DO
- Thomas Paul Carrillo PH.D.,L.P.P.a.
- Susan Thomas-McGregor, M.A., LMFT
- Amanda Thomas, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.