Individual provider Active NPI

Caroline Picone Haakenson, M.D.

  • Obstetrics & Gynecology Physician
  • Edina, MN
National Provider Identifier
1871747808
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
56889 Issued in MN
Practice address
6565 France Ave S Ste 200
Edina, MN 55435-2141
Phone
(952) 920-2200
Fax
(952) 920-0866
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 56889 MN Primary

Addresses

Primary practice location

6565 France Ave S Ste 200
Edina, MN 55435-2141

Mailing address

6565 France Ave S Ste 200
Edina, MN 55435-2141
Phone (952) 920-2200

Other practice location 1

305 E Nicollet Blvd Ste 170
Burnsville, MN 55337-4828
Phone (952) 435-4190

Other names 1

  • Caroline Picone Hennen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131118000005 MN Practitioner - Obstetrics/Gynecology 8224208442 Reassigns benefits to 1 organization
I20250220003639 NC Practitioner - Obstetrics/Gynecology 8224208442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mayo Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

1100 Healing Way
Suite 23
Matthews, NC 28104-4951
Phone (980) 993-1725

11530 Providence Rd
Suite 1500
Charlotte, NC 28277-2691
Phone (704) 667-0760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56889MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Infinite Health Collaborative, PA Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Jan 13, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Jan 13, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 13, 2025 Accepting new patients
Obstetrics and Gynecology Associates, P.a. Obstetrics & Gynecology CurrentSince Sep 11, 2017 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 170
Burnsville, MN 55337
Phone (952) 435-4190

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

11530 Providence Rd
Ste 1500
Charlotte, NC 28277
Phone (704) 667-0760

101 E Wt Harris Blvd
Ste 2320
Charlotte, NC 28262
Phone (704) 547-0858

6030 W Highway 74
Ste B
Indian Trail, NC 28079
Phone (704) 289-2553

1100 Healing Way
Ste 23
Matthews, NC 28104
Phone (980) 993-1725

Interoperability endpoints

  • Direct secure messaging: chaakenson2963720@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871747808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352141",
            "telephone_number": "952-920-2200",
            "fax_number": "952-920-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352141",
            "telephone_number": "952-920-2200",
            "fax_number": "952-920-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Nicollet Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374828",
            "country_code": "US",
            "telephone_number": "952-435-4190",
            "fax_number": "952-892-3372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAKENSON",
        "first_name": "CAROLINE",
        "middle_name": "PICONE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "56889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "HENNEN",
            "middle_name": "PICONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.