Active NPI
Kimberly M Hassler, M.D.
- Family Medicine Physician
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-17284
- Practice address
- 803 S Main St Ste 120
Moscow, ID 83843-2695 - Phone
- (208) 848-8300
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27022 | SC | |
| Family Medicine Physician | 207Q00000X | M-17284 | ID | Primary |
Addresses
Primary practice location
803 S Main St Ste 120
Moscow, ID 83843-2695
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, ID
- 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
- Family Practice
- Education
- University of South Carolina School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300
803 S Main St
Moscow, ID 83843-2695
Phone (208) 848-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-17284 | ID | MD | Family Medicine Physician |
| 27022 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conner Chiropractic, LLC | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Lexington Health Inc | Family Medicine | Current | Accepting new patients |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Lexington Health Inc | Family Medicine | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients |
Locations
1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300
803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300
557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655
7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924
4080 Augusta Hwy
Gilbert, SC 29054
Phone (803) 892-1800
338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300
122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400
2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400
716 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 356-5526
811 W Main St
Lexington, SC 29072
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180
935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
611 N Iron Bridge Way
Spokane, WA 99202
Interoperability endpoints
- kimberly.hawkes.1@11411.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Lewis and Clark Health Center
- Federally Qualified Health Center (FQHC)
- Lewiston, ID
- NPI 1235372707
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
Family Medicine
-
dba Latah Community Health
- Federally Qualified Health Center (FQHC)
- Moscow, ID
- NPI 1285077230
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Chiropractor
- Lexington, SC
- NPI 1053404913
-
dba Lexington Family Practice
- Family Medicine Physician
- Lexington, SC
- NPI 1376140764
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Moscow, ID
- NPI 1619988144
-
dba Gritman Internal Medicine Clinic
- Clinic/Center
- Moscow, ID
- NPI 1790182590
Hospital
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1629100870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S MAIN ST STE 120",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432695",
"telephone_number": "208-848-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSLER",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "27022",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-17284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.