Individual provider Active NPI

Hollyann Chan, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1619728250
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11811 Issued in MN
Practice address
222 W Superior St
Duluth, MN 55802-1938
Phone
(218) 606-1100
NPI assigned
Apr 1, 2024
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11811 MN Primary

Addresses

Primary practice location

222 W Superior St
Duluth, MN 55802-1938

Mailing address

222 W Superior St
Duluth, MN 55802-1938
Phone (218) 606-1100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327001102 MN Practitioner - Nurse Practitioner 5294258570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers Counseling LLCGroup PAC ID 7416322268, 17 clinicians
Human Development CenterGroup PAC ID 2961485909, 39 clinicians

Practice addresses (Care Compare)

222 W Superior St
Suite 200
Duluth, MN 55802-1939
Phone (218) 606-1100

810 E 4TH St
Duluth, MN 55805-2147
Phone (218) 728-4491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11811MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Apr 28, 2026 Accepting new patients
Brightwater Health Dba Human Development Center CurrentSince May 29, 2025 Accepting new patients
Brightwater Health Dba Human Development Center PastSince May 29, 2025 Accepting new patients

Locations

40 11th St
Cloquet, MN 55720
Phone (218) 879-4559

1401 E 1st St
Duluth, MN 55805
Phone (218) 728-4491

222 W Superior St
Ste 200
Duluth, MN 55802
Phone (218) 606-1100

4720 Burning Tree Rd
Duluth, MN 55811
Phone (218) 623-1800

810 E 4th St
Duluth, MN 55805
Phone (218) 728-4491

418 7th St
Two Harbors, MN 55616
Phone (218) 606-1100

629 1st Ave
Two Harbors, MN 55616
Phone (218) 834-5520

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1619728250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021938",
            "telephone_number": "218-606-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021938",
            "telephone_number": "218-606-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "HOLLYANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.