DANIELLE MARIE HAUTMAN PA-C
NPI 1265272637
Physician Assistant in Bloomington, MN

Q: What is Danielle Hautman's NPI number?

The NPI number for Danielle Hautman is 1265272637. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Q: What is Danielle Hautman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Hautman was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 31, 2024PECOS Enrolled

8936 LYNDALE AVE S, BLOOMINGTON, MN 55420(999) 999-9999 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Dec 29, 2025 (2 updates tracked since 2025).

On this page

About Danielle Marie Hautman Pa-c NPPES

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

DANIELLE MARIE HAUTMAN PA-C (NPI 1265272637) is an individual physician assistant in Bloomington, Minnesota and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265272637

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDANIELLE MARIE HAUTMANCredential: PA-C

Location Address8936 LYNDALE AVE SBloomington, MN 55420-2742

Mailing Address8936 Lyndale Ave SBloomington, MN 55420-2742

Phone(999) 999-9999

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 31, 2024

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1265272637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8936 LYNDALE AVE S, Bloomington, MN 55420

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Marie Hautman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092287938

PECOS Enrollment IDI20260611003371

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 55420 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 14

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

MR. DONALD MICHAEL DUNOW MSN FNP-C CNP APRN

Nurse Practitioner (Family)