Active NPI
Hollie Beth Pisseri, CNP
- Adult Health Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0286028
- Practice address
- 800 E 28TH St Ste 401
Minneapolis, MN 55407-3723 - Phone
- (612) 863-0200
- Fax
- (612) 863-0235
- NPI assigned
- Apr 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0286028 | MN | Primary |
| Nurse Practitioner | 363L00000X | 6228 | MN | |
| Nurse Practitioner | 363L00000X | ONCOLOGY | MN |
Addresses
Primary practice location
800 E 28TH St Ste 401
Minneapolis, MN 55407-3723
Mailing address
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (614) 284-2698
Other practice location 1
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000
Other practice location 2
300 W. 10th Ave
Columbus, OH 43210
Phone (614) 293-8619
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6228 | Other | MN | CERTIFIED NURSE PRACTITIONER |
| 0286028 | Other | NURSE PRACTITIONER CERTIFICATION |
Other names 1
- Hollie Beth Devine
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hpisseri571314@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
- Nurse Practitioner
- Education
- Emory University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8400 Normandale Lake Blvd
Suite 920
Minneapolis, MN 55437-3843
Phone (954) 399-4673
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6228 | MN | MD | Chiropractor |
| ONCOLOGY | MN | MD | Nurse Practitioner |
| 0286028 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| United Woundcare Institute Minnesota PLLC | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Nurse Practitioner | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
MN
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba University of Minnesota Physicians Heart at Fairview
- Cardiovascular Disease Physician
- Edina, MN
- NPI 1710133343
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba M Health Fairview Northland Medical Center
- Hospitalist Physician
- Princeton, MN
- NPI 1013097377
Nurse Practitioner
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Hospitalist Physician
- Saint Paul, MN
- NPI 1851117832
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740301704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HARVARD ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550363",
"telephone_number": "614-284-2698"
},
{
"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": "2450 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-672-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W. 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43210",
"country_code": "US",
"telephone_number": "614-293-8619",
"fax_number": "614-293-8685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PISSERI",
"first_name": "HOLLIE",
"middle_name": "BETH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2023-03-07",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "0286028",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "6228",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "ONCOLOGY",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIONER",
"identifier": "6228",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER CERTIFICATION",
"identifier": "0286028",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hpisseri571314@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": [
{
"first_name": "HOLLIE",
"last_name": "DEVINE",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.