DR. MICHELLE HACKNER M.D.
NPI 1205254497
Emergency Medicine in Minneapolis, MN

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, Sep 5, 2019, May 17, 2018 (3 updates tracked since 2018).

About Dr. Michelle Hackner M.d. NPPES

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

DR. MICHELLE HACKNER M.D. (NPI 1205254497) is an individual emergency medicine provider in Minneapolis, Minnesota, licensed in Minnesota (65357) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205254497
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHELLE HACKNERCredential: M.D.
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address401 W Greenlawn AveLansing, MI 48910-2819 · (179) 757-5095
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1205254497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MN · 65357✔ Licensed in MI · 4301105288
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2450 RIVERSIDE AVE, Minneapolis, MN 55454

Secondary Practice Locations 3

Location 11215 E Michigan Ave, Department of Emergency MedicineLansing, MI 48912-1811 · Phone (517) 364-2583 · Fax (517) 364-3002
Location 2401 W Greenlawn AveLansing, MI 48910 · Phone (179) 757-5095
Location 34572 County Road 61Moose Lake, MN 55767-9401 · Phone (218) 485-4481

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michelle Hackner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587934740
PECOS Enrollment IDI20190610001817
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Michelle Hackner reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Critical Access
301 HIGHWAY 65 S
Mora, MN 55051
  • Reassigned Medicare billing, Minnesota enrollment
  • 126 clinicians in this Medicare group
Multi-Specialty
45 LADY LUCK DR
Hinckley, MN 55037
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1326041633 (Minnesota)
  • 159 clinicians in this Medicare group
Critical Access
4572 COUNTY ROAD 61
Moose Lake, MN 55767
  • Reassigned Medicare billing, Minnesota enrollment
  • 213 clinicians in this Medicare group
General Acute Care Hospital
402 E 2ND ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
Multi-Specialty
9 BIRCH ST NE
Remer, MN 56672
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1093152423 (Minnesota)
  • 171 clinicians in this Medicare group
General Acute Care Hospital
901 9TH ST N
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 clinicians in this Medicare group
Critical Access Hospital
5211 HIGHWAY 110
Aurora, MN 55705
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
119 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
90 services86 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
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 Michelle Hackner's NPI number?

The NPI number for Michelle Hackner is 1205254497. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Michelle Hackner located?

Michelle Hackner practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.

What is Michelle Hackner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michelle Hackner enrolled in Medicare?

Yes. Michelle Hackner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Hackner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Hackner reassigns Medicare benefits to 8 organizations: Fairview Health Services (Minneapolis, MN), Welia Health (Mora, MN), Pine Medical Center (Hinckley, MN), Essentia Health Moose Lake (Moose Lake, MN), St Marys Medical Center (Duluth, MN) and 3 more organizations, listed in the Medicare section above. 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 Michelle Hackner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michelle Hackner affiliated with any hospitals?

According to CMS data, Michelle Hackner is affiliated with Fairview Lakes Health Services and Essentia Health Moose Lake.

When was this NPI record last updated?

The NPPES record for Michelle Hackner was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.