NPIMap

Individual provider Active NPI

Katrina Lee Hull, CNP, RN

  • Gerontology Nurse Practitioner
  • Edina, MN
National Provider Identifier
1801557145
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
8504 Issued in MN
Practice address
6401 France Ave S
Edina, MN 55435-2104
Phone
(952) 924-5000
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Office Based Coding SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 246YC3302X
Gerontology Nurse Practitioner 363LG0600X 8504 MN Primary

Addresses

Primary practice location

6401 France Ave S
Edina, MN 55435-2104

Mailing address

6401 France Ave S
Edina, MN 55435-2104
Phone (507) 269-8814

Other practice location 1

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 267-6000

Other identifiers 1

IdentifierTypeStateIssuer
8504OtherMNCNP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201000682 MN Practitioner - Nurse Practitioner 5991198772 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.96 of 100Reported as group
Quality
79.07
Promoting interoperability
0
Improvement activities
20
Cost
62.47

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
8504MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center, Inc. Multi-Specialty Current Accepting new patients
Healtheast Medical Research Insititue CurrentSince Feb 15, 2022 Accepting new patients
Fairview Express Care Multi-Specialty Current Accepting new patients
Fairview Express Care Multi-Specialty CurrentSince Mar 15, 2022 Accepting new patients
Fairview Express Care CurrentSince Mar 15, 2022 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc Multi-Specialty CurrentSince Mar 15, 2022 Accepting new patients
Healtheast Medical Research Institute Multi-Specialty CurrentSince Feb 15, 2022 Accepting new patients
Integrated Wound Care Minnesota PLLC Multi-Specialty CurrentSince Oct 18, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Mar 15, 2022 Accepting new patients
Healtheast Woodwinds Hospital Multi-Specialty CurrentSince Feb 15, 2022 Accepting new patients
University of Minnesota Physicians Multi-Specialty Current Accepting new patients
Healtheast St. John'S Hospital Multi-Specialty CurrentSince Feb 15, 2022 Accepting new patients
Healtheast Medical Research Institute Multi-Specialty Current Accepting new patients

Locations

7700 Grand Ave
Duluth, MN 55807
Phone (218) 628-2341

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1801557145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352104",
            "telephone_number": "507-269-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352104",
            "telephone_number": "952-924-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "612-267-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "KATRINA",
        "middle_name": "LEE",
        "credential": "CNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246YC3302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "8504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP",
            "identifier": "8504",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.