JAMIE LEA HANSON – Dermatology Physician, NPI 1386006054

JAMIE LEA HANSON is a healthcare provider. based in Saint paul, Minnesota. specializing in DERMATOLOGY. They hold a License No. 64589 (MN). The NPI Number for JAMIE LEA HANSON is 1386006054

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE LEA HANSON
NPI
1386006054
Phone
(651) 241-9700
Address
1021 BANDANA BLVD E STE 100
Enumeration Date
22 March 2016
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635714000
Graduation Year
2016 (10 years ago)
PAC ID
5597057505
Group Practice PAC ID
8921908047
Professional Enrollment ID
I20181023002719
Address ID
MN554344264BL11107NEXX401

Contacts

Secure Messaging
jhanson267332@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

419 DERMATOLOGY in MN

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Provider Addresses for JAMIE LEA HANSON

  • Bandana Blvd E, Energy Park Drive, Saint Paul, Ramsey County, Minnesota, 55104-2008, United States

    SAINT PAUL, MN 55108

    Phone: (651) 241-9700

    Type: Location

  • 909 Fulton St SE

    Minneapolis, MN 554554800

    Phone: (612) 625-5656

    Type: Location

  • 3800 Park Nicollet Blvd

    St Louis Park, MN 554162527

    Phone: (952) 993-3123

    Fax: (952) 993-3286

    Type: Location

  • 1021 Bandana Blvd E Ste 100

    Saint Paul, MN 55108

    Phone: (651) 241-9700

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($29).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20181023002719IDermatologyMNTBD

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
17003Destruction of precancer skin growth, 2-14 growths419107$0
99213Established patient office or other outpatient visit, 20-29 minutes176164$0
17000Destruction of precancer skin growth, 1 growth175162$0
17110Destruction of skin growth, 1-14 growths139117$0
99214Established patient office or other outpatient visit, 30-39 minutes136118$0
View full utilization report →

Insurance plans in this area (ZIP 55108)

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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: 8921908047View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
Dermatology, Micrographic Dermatologic Surgery (Mds)MN
Undefined Physician Type (Specify), DermatologyMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Can I verify JAMIE LEA HANSON with an NPI only?
You can start verification with NPI 1386006054 for JAMIE LEA HANSON, then check state licensing separately.
Does CMS list JAMIE LEA HANSON as active?
Yes — JAMIE LEA HANSON is active in the NPI listing used on this page.
What taxonomy line describes JAMIE LEA HANSON?
For research purposes, treat JAMIE LEA HANSON as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JAMIE LEA HANSON based?
JAMIE LEA HANSON is tied to Saint Paul, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about JAMIE LEA HANSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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