Individual provider Active NPI

Dan Krakora

  • Dermatology Physician
  • Hudson, WI
National Provider Identifier
1548622863
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
69934 Issued in WI
Practice address
411 Stageline Rd
Hudson, WI 54016-7848
Phone
(715) 531-6700
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 69934 WI Primary

Addresses

Primary practice location

411 Stageline Rd
Hudson, WI 54016-7848

Mailing address

8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200804002145 WI Practitioner - Dermatology 0244501096 Reassigns benefits to 1 organization
I20200804002364 MN Practitioner - Dermatology 0244501096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

405 Stageline Rd
Hudson, WI 54016-7848
Phone (651) 265-1999

411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

744 E Louisiana St
Saint Croix Falls, WI 54024-9501
Phone (866) 544-6741

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as individual
Quality
86.36
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions238
Removal or shaving of skin growth149
Skin biopsy46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Aug 24, 2020 Accepting new patients
Group Health, Inc. CurrentSince Aug 24, 2020 Accepting new patients
Group Health, Inc. CurrentSince Aug 24, 2020 Accepting new patients

Locations

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

411 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

411 Stageline Rd
Ste 200
Hudson, WI 54016
Phone (715) 531-6700

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

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.

Hospital & facility affiliations 4

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1548622863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKORA",
        "first_name": "DAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "69934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.