Provider
Home: Provider Data Profile Registration

This registration is for the Provider Data Profiles web application only.
Provider Data Profiles are available only to providers directly contracted with HealthPartners.

If you are interested in access to the secured Provider Portal and on-line applications,
visit What e-tools are available?.

Once you are registered you may log in any time to update your profiles (i.e. submit Type 1 NPIs).

Enter your facility information
 
* Clinic or Provider Name:  
* Tax ID:
* Provider Type:
  Specialty Type:

Person(s) responsible for managing your Data Audit
* First and Last Name:
* Phone:
* Email Address:

Additional Data Audit Contacts (if applicable)
  First and Last Name:
* Phone:
* Email Address:
 
  First and Last Name:
* Phone:
* Email Address:
 
  Comments: