Jill Anne Hasenberg-Gindt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45018-21 Issued in WI

Practice address

4076 Kothlow Ave
Menomonie, WI 54751-3090

Phone

(715) 235-4537

Fax

(715) 235-4535

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jill Anne Hasenberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

94.81 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1235144031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 KOTHLOW AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513090",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 KOTHLOW AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513090",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASENBERG-GINDT",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45018-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HASENBERG",
            "middle_name": "ANNE",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erin Hall-Rhoades, MD
• Adam Hallet, LAT
• Charissa Hanson, DNP
• Harmony
• Lance Harris, H.I.S.
• Jennifer Hastings, D.D.S.
• Matthew J Hastreiter, PT, DPT
• Shae Marie Havner, LCSW
• Natalie Jo Hazen, BS
• Amy R Heikkinen, PA-C

• Family Medicine Physician in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.