HOLLY R HARTMAN CNP
NPI 1104227289
Nurse Practitioner - Neonatal in Minneapolis, MN

Q: What is Holly Hartman's NPI number?

The NPI number for Holly Hartman is 1104227289. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Q: What is Holly Hartman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Hartman was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 09, 2014PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-7032 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2017, Dec 30, 2015 (2 updates tracked since 2015).

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About Holly R Hartman Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY R HARTMAN CNP (NPI 1104227289) is an individual neonatal provider in Minneapolis, Minnesota, licensed in Minnesota (5087) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104227289

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameHOLLY R HARTMANCredential: CNP

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 273-7032

Phone(612) 273-7032

Sole ProprietorNo

Enumeration DateSeptember 9, 2014

Last NPPES UpdateJune 22, 20222 updates tracked since enumeration

NPPES CertifiedJune 22, 2022

✔ NPI 1104227289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in MN · 5087

Also ListedNurse PractitionerTaxonomy 363L00000X · License COA.16474-NP (OH), CNP5087 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly R Hartman Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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