Lee M Haggenjos, MD

Key facts

NPI

1003207416

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

64235 (MN)

Practice address

502 2ND St SW Ste 1
Willmar, MN 56201-3365

Phone

(320) 235-7232

NPI assigned

Feb 7, 2015

Sex

Male

Sole proprietor

Yes

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centracare Clinic Southwest LLC Multi-Specialty Clinic/Center · Willmar, MN · NPI 1174106264
  Medicare reassignment Care Compare group NPD MN
• Emergency Physicians Professional Association Emergency Medicine Physician · Bloomington, MN · NPI 1801871934
  Medicare reassignment Care Compare group NPD MN
• Carris Health LLC Emergency Medicine Physician · Willmar, MN · NPI 1134632680
  Medicare reassignment NPD MN
• Centracare Health System - Long Prairie Critical Access Hospital · Long Prairie, MN · NPI 1164471678
  Medicare reassignment NPD MN
• Centracare Health System - Melrose Critical Access Hospital · Melrose, MN · NPI 1720045073
  Medicare reassignment NPD MN
• Centracare Health System - Sauk Centre Rural Health Clinic/Center · Sauk Centre, MN · NPI 1578813762
  Medicare reassignment NPD MN
• Centracare Health System - Sauk Centre Critical Access Hospital · Sauk Centre, MN · NPI 1740553932
  Medicare reassignment NPD MN
• County of Meeker Rural Health Clinic/Center · Litchfield, MN · NPI 1083221816
  Medicare reassignment NPD MN
• St. Cloud Hospital General Acute Care Hospital · Saint Cloud, MN · NPI 1043269798
  Medicare reassignment NPD MN
• Centracare Clinic Southwest LLC Durable Medical Equipment & Medical Supplies · Willmar, MN · NPI 1912664889
  Care Compare group NPD
• Affiliated Community Medical Centers, LTD Multi-Specialty Clinic/Center · Willmar, MN · NPI 1952363699
  NPD
• Centracare Health System - Sauk Centre Medicare Defined Swing Bed Hospital Unit · Sauk Centre, MN · NPI 1487928743
  NPD
• County of Meeker Medicare Defined Swing Bed Hospital Unit · Litchfield, MN · NPI 1578718482
  NPD
• Emergency Physicians Professional Association Urgent Care Clinic/Center · Golden Valley, MN · NPI 1750188488
  NPD
• Emergency Physicians Professional Association Urgent Care Clinic/Center · Woodbury, MN · NPI 1972734721
  NPD
• Minnesota Pathologists Chartered Anatomic Pathology & Clinical Pathology Physician · Willmar, MN · NPI 1992851315
  NPD
• St. Cloud Hospital Clinic/Center · St Cloud, MN · NPI 1770532426
  NPD
• St. Cloud Hospital Psychiatric Hospital Unit · Saint Cloud, MN · NPI 1932419058
  NPD
• Bethesda Skilled Nursing Facility · Willmar, MN · NPI 1174527410
  NPD (past)
• Carris Health LLC General Acute Care Hospital · Willmar, MN · NPI 1407367030
  NPD (past)

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Skilled Nursing Facility · Willmar, MN · NPI 1174527410
  Care Compare affiliation Nursing home
• Carris Health LLC Infusion Therapy Clinic/Center · Willmar, MN · NPI 1124657150
  Care Compare affiliation Hospital
• Carris Health LLC Community Based Hospice Care Agency · Willmar, MN · NPI 1306359856
  Care Compare affiliation Hospice
• Carris Health LLC General Acute Care Hospital · Willmar, MN · NPI 1407367030
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Northwestern University Feinberg Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centracare Clinic Southwest LLC (172 clinicians)
Emergency Physicians Professional Association (273 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare Hospice Hospice · Willmar, MN · CCN 241509
• Centracare- Rice Memorial Hospital Hospital · Willmar, MN · CCN 240088
• Bethesda Nursing home · Willmar, MN · CCN 245427
• Cura of Willmar Nursing home · Willmar, MN · CCN 245410

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lhaggenjos497874@direct.centracare.com

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 25, 2023.

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1003207416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013365",
            "telephone_number": "320-235-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013365",
            "telephone_number": "320-235-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGENJOS",
        "first_name": "LEE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhaggenjos497874@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lhaggenjos497874@direct.centracare.com",
            "address_1": "502 2nd St SW Ste 1",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562013365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Willmar, MN · Family Medicine Physician in Minnesota