Active NPI
Andrew Hasebroock, MD
- Emergency Medicine Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 68617
- Practice address
- 1575 Beam Ave
Maplewood, MN 55109-1126 - Phone
- (651) 232-7348
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME149521 | FL | |
| Emergency Medicine Physician | 207P00000X | 87421-20 | WI | |
| Emergency Medicine Physician | 207P00000X | 68617 | MN | Primary |
Addresses
Primary practice location
1575 Beam Ave
Maplewood, MN 55109-1126
Mailing address
2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279
Other practice location 1
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 2
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-0555
Other practice location 3
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3908
Other practice location 4
1925 Woodwinds Dr
Woodbury, MN 55125-4445
Phone (651) 232-0348
Other practice location 5
2250 NW 26th St
Owatonna, MN 55060-5503
Phone (507) 451-3850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahasebroock458172@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8383 N Davis Hwy
W Florida Hospital
Pensacola, FL 32514-6088
Phone (850) 494-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154359917 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Consultants, PA | Emergency Medicine | Past | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
9400 W Highway 98
Pensacola, FL 32506
Phone (850) 457-2200
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
Interoperability endpoints
- ahasebroock458172@excellian.direct.allina.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1669422788
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782604800000",
"number": "1508359886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 UNIVERSITY AVE SE STE 730",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BEAM AVE",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091126",
"telephone_number": "651-232-7348"
}
],
"practiceLocations": [
{
"address_1": "2925 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071321",
"country_code": "US",
"telephone_number": "612-262-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 E State St",
"address_purpose": "LOCATION",
"city": "Saint Croix Falls",
"state": "WI",
"postal_code": "540244117",
"country_code": "US",
"telephone_number": "715-483-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-3908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1925 Woodwinds Dr",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551254445",
"country_code": "US",
"telephone_number": "651-232-0348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 NW 26th St",
"address_purpose": "LOCATION",
"city": "Owatonna",
"state": "MN",
"postal_code": "550605503",
"country_code": "US",
"telephone_number": "507-451-3850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASEBROOCK",
"first_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2026-06-28",
"certification_date": "2026-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME149521",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "87421-20",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "68617",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahasebroock458172@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "1324 5th St N",
"city": "New Ulm",
"state": "MN",
"country_code": "US",
"postal_code": "560731514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.