Rolf C Hanson, MD
Individual provider Active NPI Family Medicine Physician · Hugo, MN
NPI 1992896906 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1992896906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25267 (MN)
- Practice address
- 14701 Victor Hugo Blvd N
Hugo, MN 55038-4561 - Phone
- (952) 853-8800
- Fax
- (651) 767-1901
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040702000544 | MN | Practitioner - Family Practice | 5597742957 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25267 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
14701 Victor Hugo Blvd N
Hugo, MN 55038
Phone (651) 426-1141
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25267 | MN | Yes |
Addresses
Primary practice location
14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other providers in Hugo, MN
- Bailey Rose Haider
- Heather Michelle Haider
- Cara Halgren
- Hamiltan Health Care LLC
- Madeline Anne Hanggi
- Page Harer
- Amy Kathryn Harrington
- Nicole Marie Harvey
- Jadyn Heepke
- Samantha Elizabeth Heinrich
All providers in Hugo, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.