JAMIE LEA HANSON – Dermatology Physician, NPI 1386006054
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181023002719 | I | Dermatology | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 419 | 107 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 176 | 164 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 175 | 162 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 139 | 117 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 118 | $0 |
Insurance plans in this area (ZIP 55108)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MN | |
| Undefined Physician Type (Specify), Dermatology | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
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