Individual provider Active NPI

Cindy Demenge Hauser, APRN, CNP, CNNP

  • Family Nurse Practitioner
  • Aitkin, MN
National Provider Identifier
1619289550
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-CNP0871 Issued in MN
Practice address
200 Bunker Hill Dr
Riverwood Healthcare Center
Aitkin, MN 56431-1865
Phone
(218) 927-2157
Fax
(218) 927-4130
NPI assigned
Jul 8, 2010
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R1222476 MN
Nurse Practitioner 363L00000X R122247-6 MN
Family Nurse Practitioner 363LF0000X R122247-6 MN
Family Nurse Practitioner 363LF0000X APRN-CNP0871 MN Primary

Addresses

Primary practice location

200 Bunker Hill Dr
Riverwood Healthcare Center
Aitkin, MN 56431-1865

Mailing address

200 Bunker Hill Dr
Riverwood Healthcare Center
Aitkin, MN 56431-1865
Phone (218) 927-2157

Other identifiers 2

IdentifierTypeStateIssuer
1619289550MedicaidMN
P00881523OtherMNRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chauser273310@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000362 MN Practitioner - Nurse Practitioner 5496948945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Practice addresses (Care Compare)

2 E Ctr Ave
McGregor, MN 55760-1433
Phone (218) 768-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R122247-6MNMDNurse Practitioner
R1222476MNMDNurse Practitioner
APRN-CNP0871MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Adult & Pediatric Urology Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

Interoperability endpoints

  • Direct secure messaging: chauser273310@excellian.direct.allina.com
  • Direct secure messaging: d2@millelacs.directbygreenway.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1619289550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "address_2": "RIVERWOOD HEALTHCARE CENTER",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2157",
            "fax_number": "218-927-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "address_2": "RIVERWOOD HEALTHCARE CENTER",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2157",
            "fax_number": "218-927-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "CINDY",
        "middle_name": "DEMENGE",
        "credential": "APRN, CNP, CNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1222476",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R122247-6",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R122247-6",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "APRN-CNP0871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619289550",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00881523",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chauser273310@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "200 Bunker Hill Dr",
            "address_2": "Riverwood Healthcare Center",
            "city": "Aitkin",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564311865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

Verify at the official NPI Registry.