HOLLY N ANDERSON DNP
NPI 1659081487
Nurse Practitioner - Family in St Louis Park, MN
About Holly N Anderson Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY N ANDERSON DNP (NPI 1659081487) is an individual family provider in St Louis Park, Minnesota, licensed in Minnesota (9749) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Holly N Anderson Dnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Holly Anderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 60 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 21 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 90 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Anderson's NPI number?
The NPI number for Holly Anderson is 1659081487. It was assigned to this individual provider in the NPPES registry on December 2, 2022. The provider is also known as Holly N Hagan.
Where is Holly Anderson located?
Holly Anderson practices at 5320 W 23rd St Ste 130, St Louis Park, MN 55416. The listed phone number is (952) 345-3310.
What is Holly Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Anderson enrolled in Medicare?
Yes. Holly Anderson 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 Holly Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Anderson reassigns Medicare benefits to 4 organizations: Lifespark Medical Group, PA (St Louis Park, MN), Spark Medical Providers PA (St Louis Park, MN), Curana Health Of Minnesota PLLC (Minneapolis, MN) and Ch Specialty Services Mn PC (Minneapolis, 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Anderson affiliated with any hospitals?
According to CMS data, Holly Anderson is affiliated with Abbott Northwestern Hospital and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Holly Anderson was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 N Anderson, DNP · NPI 1659081487
Family physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since December 2, 2022.
## Identity
- **NPI:** 1659081487 (Entity type: Individual)
- **Enumerated:** December 2, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9749 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5320 W 23RD ST STE 130, St Louis Park, MN 55416-1670
- **Phone:** (952) 345-3310 · **Fax:** (952) 345-8771
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lifespark Medical Group, PA (NPI 1427551746, St Louis Park, MN); Spark Medical Providers PA (NPI 1760374680, St Louis Park, MN); Curana Health Of Minnesota PLLC (NPI 1083365084, Minneapolis, MN); Ch Specialty Services Mn PC (NPI 1841999158, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659081487) · Data from the CMS NPPES public registry.