NPIMap

Organization Active NPI

Aesthetic and Plastic Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Maple Grove, MN
National Provider Identifier
1871704338
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
1585 Issued in MN
Legal business name
AESTHETIC AND PLASTIC SURGERY, PA
Practice address
12000 Elm Creek Blvd N Ste 301
Maple Grove, MN 55369-7090
Phone
(763) 200-6115
Fax
(763) 236-9010
NPI assigned
May 25, 2007
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Dr. Agnieszka S HatfieldNPI 1174637060
Title
Owner
Phone
(763) 236-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 1585 MN Primary

Addresses

Primary practice location

12000 Elm Creek Blvd N Ste 301
Maple Grove, MN 55369-7090

Mailing address

11850 Blackfoot St NW Ste 130
Coon Rapids, MN 55433-2583
Phone (763) 236-1900

Other identifiers 5

IdentifierTypeStateIssuer
131146OtherUCARE
1300140OtherMEDICA
92321OtherHLTH PART
180700500MedicaidMN
131M0HAOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

12000 Elm Creek Blvd N
Ste 301
Maple Grove, MN 55369
Phone (612) 234-5613

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1871704338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT ST NW STE 130",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332583",
            "telephone_number": "763-236-1900",
            "fax_number": "763-236-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N STE 301",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697090",
            "telephone_number": "763-200-6115",
            "fax_number": "763-236-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC AND PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-236-1900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "1585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "131146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1300140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLTH PART",
            "identifier": "92321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180700500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131M0HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.