DR. ELAINE MARIE HOFFMAN HOLSTINE (M.D.) – Internal Medicine Physician, NPI 1477516482
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ELAINE MARIE HOFFMAN HOLSTINE (M.D.)
10705 Town Square Dr NE
Suite 100
Blaine, MN 554498184
Phone: (763) 236-5400
Type: Location
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (952) 967-7175
Type: Mailing
Health Partners Riverside Urgent Care, 2220, Riverside Avenue, Cedar-Riverside, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States
MS 31700A
MINNEAPOLIS, MN 554541321
Phone: (952) 967-7175
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: 2020-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051221000701 | I | Internal Medicine | MN | TBD |
| I20200520000865 | I | Internal Medicine | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55449)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SD | |
| - | CO | |
| O P T O M E T R Y | SD | |
| Internal Medicine | OH | |
| Internal Medicine | MA | |
| Endocrinology, Internal Medicine | WA | |
| - | MA | |
| Diagnostic Radiology | SD | |
| Family Practice, Emergency Medicine, Family Practice | OH | |
| Physician Assistant | CO |
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