HOLLY R HARTMAN CNP
NPI 1104227289
Nurse Practitioner - Neonatal in Minneapolis, MN
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly R Hartman Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Holly Hartman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Holly Hartman located?
Holly Hartman practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 273-7032.
What is Holly Hartman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Holly Hartman enrolled in Medicare?
Yes. Holly Hartman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Holly Hartman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Hartman reassigns Medicare benefits to 5 organizations: Fairview Health Services (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Hartman accept?
Health plans from Sanford Health Plan list Holly Hartman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Hartman was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Holly R Hartman, CNP · NPI 1104227289
Neonatal physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since September 9, 2014.
## Identity
- **NPI:** 1104227289 (Entity type: Individual)
- **Enumerated:** September 9, 2014
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 5087 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 273-7032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104227289) · Data from the CMS NPPES public registry.