Individual provider Active NPI

Elisabeth Hurliman, MD

  • Dermatology Physician
  • Waconia, MN
National Provider Identifier
1730323304
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
55920 Issued in MN
Practice address
500 S Maple St
Waconia, MN 55387-1791
Phone
(952) 442-2191
NPI assigned
Apr 27, 2009
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 55920 MN Primary

Addresses

Primary practice location

500 S Maple St
Waconia, MN 55387-1791

Mailing address

500 S Maple St
Waconia, MN 55387-1791
Phone (952) 442-2191

Other practice location 1

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000002 MN Practitioner - DermatologyPractitioner - Neurology 9032353115 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Neurology
Education
University of Minnesota Medical School, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Tareen Dermatology PAGroup PAC ID 8123288156, 45 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

2720 Fairview Ave N
Suite 200
Roseville, MN 55113-1306
Phone (651) 633-6883

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

Merit-based Incentive Payment System (MIPS)

Final score
73.6 of 100Reported as individual
Quality
52.01
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions29
Removal of skin cancer152
Removal or shaving of skin growth43
Skin biopsy27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tareen Dermatology, P.a. Dermatology CurrentSince Jun 16, 2025 Accepting new patients
Southwest Dermatology Specialists. LTD Dermatology Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Dec 10, 2023 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Ridgeview Medical Center CurrentSince Mar 1, 2021 Accepting new patients
United Skin Specialists, LTD PC CurrentSince Oct 18, 2017 Accepting new patients
Lakes Dermatology, PA Dermatology CurrentSince Aug 31, 2020 Accepting new patients
Tareen Dermatology, PA Past Accepting new patients
Tareen Dermatology, PA Past Accepting new patients

Locations

14305 Southcross Dr W
Ste 110
Burnsville, MN 55306
Phone (651) 304-1064

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

1185 Town Centre Dr
Ste 101
Eagan, MN 55123
Phone (651) 209-3600

1575 20th St NW
Ste 201
Faribault, MN 55021

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

17305 Cedar Ave S
Ste 230
Lakeville, MN 55044
Phone (507) 301-3412

2945 Hazelwood St
Ste 230
Maplewood, MN 55109

4100 W 50th St
Minneapolis, MN 55424
Phone (952) 929-8888

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

14001 Ridgedale Dr
Ste 300
Minnetonka, MN 55305
Phone (612) 387-4627

9766 Fallon Ave NE
Ste 102
Monticello, MN 55362
Phone (763) 272-1500

6425 Nicollet Ave
Ste 202
Richfield, MN 55423
Phone (612) 338-0711

2770 Fairview Ave N
Roseville, MN 55113

2720 Fairview Ave N
#200
Saint Paul, MN 55113
Phone (651) 663-6883

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1730323304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871791",
            "telephone_number": "952-442-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871791",
            "telephone_number": "952-442-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLIMAN",
        "first_name": "ELISABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "55920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.