Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
Fax: (651) 331-3459
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Roseville