Hannah Bjerkness, PA-C
Individual provider Active NPI Physician Assistant · Duluth, MN
NPI 1669942678 · NPPES record last updated Apr 13, 2020
Key facts
- NPI
- 1669942678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12866 (MN)
- Practice address
- 1502 London Rd Ste 102
Duluth, MN 55812-1787 - Phone
- (218) 576-0100
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 34
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Duluth Clinic LTD
Polinsky Medical Rehabilitation Center
Practice addresses (Care Compare)
1413 Hwy 33 S
Cloquet, MN 55720-2626
Phone (218) 337-4000
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Hospital & facility affiliations
- Aveanna Home Health
- Essentia Health Duluth
- Essentia Health Moose Lake
- Community Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190318001443 | MN | Practitioner - Physician Assistant | 2769722339 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current |
Accepting new patients | |
| Moose Lake Community Hospital District | Current | Accepting new patients | |
| Essentia Health Moose Lake | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Essentia Health Moose Lake | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
1502 London Rd
Ste 102
Duluth, MN 55812
Phone (218) 576-0100
4621 E Superior St
Duluth, MN 55804
Phone (218) 786-3550
4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481
211 S Boundary Ave
Proctor, MN 55810
Phone (218) 624-4818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12866 | MN | Yes |
Addresses
Primary practice location
1502 London Rd Ste 102
Duluth, MN 55812-1787
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other providers in Duluth, MN
- Birthing Ways- Doula Connection
- Birthing Ways-Doula Connection
- Amanda Lyn Bishop
- Kalkidan Genete Bishu
- Sonja M Bjerk
- Pamela Kay Bjorklund
- Carolyn M. Bjur
- Anna Black
- Matthew Lee Blade
- Lars Bland
All providers in Duluth, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.