Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah Kristine Petterson, PA-C

Individual provider Physician Assistant · NPI 1992345110

Hannah Kristine Petterson, PA-C is a Physician Assistant in Roseville, Minnesota. Qualified in 2019, 7 years ago. Practices with Tareen Dermatology PA, a 44-clinician group and works from 2 locations. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
Fax: (651) 331-3459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4645 Knutsen Dr, Farmington, MN 55024-8455 — (651) 633-6883

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13302 (MN)

Record details

NPI number1992345110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tareen Dermatology Pa — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients401
Services billed 2,278 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Tareen Dermatology PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 44 clinicians in the practice; 12 are shown here.

Other providers in Roseville