ERIC HARL (PA-C) – Medical Physician Assistant, NPI 1336297043

ERIC HARL (PA-C) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9564 (MN). The NPI Number for ERIC HARL (PA-C) is 1336297043

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ERIC HARL (PA-C)
NPI
1336297043
Phone
(612) 455-3200
Address
1221 W LAKE ST STE 208
Enumeration Date
8 January 2007
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124553200
Graduation Year
2000 (26 years ago)
PAC ID
6507839834
Group Practice PAC ID
6507817608
Professional Enrollment ID
I20040816000787
Address ID
MN554083565MI1221XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for ERIC HARL (PA-C)

  • 1221 W LAKE ST STE 208

    MINNEAPOLIS, MN 554083565

    Phone: (612) 455-3200

    Type: Mailing

  • 6500 Red Hook Plz Ste 205

    St Thomas, VI 008021346

    Phone: (340) 775-2303

    Type: Location

  • 6500 RED HOOK PLZ STE 205

    ST THOMAS, VI 008021346

    Phone: (340) 775-2303

    Type: Mailing

  • 250, Plymouth Road, Minnetonka, Hennepin County, Minnesota, 55305, United States

    MINNETONKA, MN 553052376

    Phone: (952) 767-2326

    Fax: (952) 593-5187

    Type: Mailing

  • Plymouth Road, Minnetonka Mills, Minnetonka, Hennepin County, Minnesota, 55205, United States

    MINNETONKA, MN 553052334

    Phone: (952) 593-9010

    Fax: (952) 593-9809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040816000787IPhysician AssistantMNTBD
I20220919001358IPhysician AssistantVITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes268183$0
17003Destruction of precancer skin growth, 2-14 growths25762$0
99213Established patient office or other outpatient visit, 20-29 minutes242188$0
17000Destruction of precancer skin growth, 1 growth11582$0
11104Punch biopsy, first skin growth3028$0
View full utilization report →

Insurance plans in this area (ZIP 55408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507817608View full group profile
NameSpecialtyState
-MN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How is ERIC HARL (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ERIC HARL (PA-C) with NPI 1336297043.
Does the file indicate ERIC HARL (PA-C) is practicing under active NPI?
Directory data currently reports ERIC HARL (PA-C) as active.
What taxonomy line describes ERIC HARL (PA-C)?
For research purposes, treat ERIC HARL (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ERIC HARL (PA-C) on a map?
Expect Minneapolis, Minnesota as a primary anchor for ERIC HARL (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.