ETHAN HAMILTON CNP
NPI 1275024341
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN

Q: What is Ethan Hamilton's NPI number?

The NPI number for Ethan Hamilton is 1275024341. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Ethan Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Hamilton was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 24, 2018PECOS Enrolled

621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408(612) 979-2276 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2019, May 24, 2018 (2 updates tracked since 2018).

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About Ethan Hamilton Cnp NPPES

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

ETHAN HAMILTON CNP (NPI 1275024341) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (6446) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275024341

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameETHAN HAMILTONCredential: CNP

Location Address621 W LAKE ST STE 350Minneapolis, MN 55408-2952

Mailing Address428 Minnesota St Unit 500Saint Paul, MN 55101-2666

Phone(612) 979-2276

Sole ProprietorNo

Enumeration DateMay 24, 2018

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1275024341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 6446

Also ListedRegistered NurseTaxonomy 163W00000X · License 2470803 (MN)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 1640188 (CO)

621 W LAKE ST STE 350, Minneapolis, MN 55408

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Ethan Hamilton 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 55408 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.

LISA HOLLIDAY LICSW

Social Worker (Clinical)