Individual provider Active NPI

Ki M Hassler, D.O.

  • Cardiovascular Disease Physician
  • Venice, FL
National Provider Identifier
1417027665
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036176342 Issued in IL
Practice address
1215 Jacaranda Blvd
Venice, FL 34292
Phone
(941) 451-8282
Fax
(941) 451-8434
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13148-321 WI
Cardiovascular Disease Physician 207RC0000X OS8522 FL
Cardiovascular Disease Physician 207RC0000X 036176342 IL Primary
Cardiovascular Disease Physician 207RC0000X 34C.000589 OH
Cardiovascular Disease Physician 207RC0000X OS025384C PA

Addresses

Primary practice location

1215 Jacaranda Blvd
Venice, FL 34292

Mailing address

1215 Jacaranda Blvd
Venice, FL 34292-4520
Phone (941) 451-8282

Other practice location 1

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (937) 981-9400

Other practice location 2

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-2400

Other practice location 3

700 S Park St
Madison, WI 53715-1830
Phone (608) 260-2900

Other practice location 4

3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394
Phone (570) 524-5056

Other identifiers 1

IdentifierTypeStateIssuer
1417027665MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other Dean Health Systems, Inc
Direct Messaging Address adena@adena.medicity.net
Direct Messaging Address khassler560610@direct-ehr-ssmhc.com Direct Dean Health Systems, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, PA, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250917004127 IL Practitioner - Cardiovascular Disease (Cardiology) 9638270606 Reassigns benefits to 1 organization
I20251024001478 WI Practitioner - Cardiovascular Disease (Cardiology) 9638270606 Reassigns benefits to 1 organization
I20260114002099 PA Practitioner - Cardiovascular Disease (Cardiology) 9638270606 Reassigns benefits to 1 organization
I20260610003914 OH Practitioner - Cardiovascular Disease (Cardiology) 9638270606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9394

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

753 N Main St
Oregon, WI 53575-1003
Phone (608) 835-2222

80 Medical Park Dr
Lewisburg, PA 17837-6343
Phone (570) 768-4646

90 Medical Park Dr
Lewisburg, PA 17837-6343
Phone (570) 524-2722

Hospital & facility affiliations

  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013
  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34C.000589OHMDCardiovascular Disease Physician
OS025384CPAMDCardiovascular Disease Physician
13148-321WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 26, 2026 Accepting new patients
Dean Health Systems, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Jan 26, 2026 Accepting new patients
Dean Health Systems, Inc Cardiovascular Disease CurrentSince Oct 13, 2025 Accepting new patients
Decatur Memorial Hospital Cardiovascular Disease CurrentSince Sep 1, 2025 Accepting new patients
Decatur Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Weitzner Yonker & Kaine MD PA PastSince Mar 1, 2024 Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

3 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 523-7625

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: kihasslerdollc.kihassler@137916.advancedmd-direct.com

Organizations & group practices 9

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1417027665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "941-451-8282",
            "fax_number": "941-451-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "941-451-8282",
            "fax_number": "941-451-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Mirabeau St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "OH",
            "postal_code": "451231617",
            "country_code": "US",
            "telephone_number": "937-981-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Edward St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625264163",
            "country_code": "US",
            "telephone_number": "217-876-2400",
            "fax_number": "217-876-2405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151830",
            "country_code": "US",
            "telephone_number": "608-260-2900",
            "fax_number": "608-260-2956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-524-5056",
            "fax_number": "570-524-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSLER",
        "first_name": "KI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "13148-321",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS8522",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036176342",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34C.000589",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS025384C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417027665",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Dean Health Systems, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "550 Mirabeau St",
            "city": "Greenfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451231617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khassler560610@direct-ehr-ssmhc.com",
            "affiliation": "Y",
            "affiliationName": "Dean Health Systems, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "khassler560610@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.