Active NPI
Terese Marie Haasken, PA-C
- Surgical Physician Assistant
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10160
- Practice address
- 4010 W 65TH St
Edina, MN 55435-1706 - Phone
- (952) 456-7000
- Fax
- (952) 456-7001
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10160 | MN | Primary |
Addresses
Primary practice location
4010 W 65TH St
Edina, MN 55435-1706
Mailing address
4200 Dahlberg Dr
Suite 300
Golden Valley, MN 55422-4840
Phone (952) 512-5600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone (320) 864-3121
1805 N Hennepin Ave
Glencoe, MN 55336-1416
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896 | MN | MD | Mental Health Counselor |
| 10160 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Health | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Glencoe Regional Health Services | Current | Accepting new patients | |
| Glencoe Regional Health Services | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
6545 France Ave S
Ste 160
Minneapolis, MN 55435
Phone (952) 835-0750
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
Interoperability endpoints
- thaasken106086@excellian.direct.allina.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Glencoe, MN
- NPI 1508885633
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba TRIA Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
-
- Durable Medical Equipment & Medical Supplies
- Glencoe, MN
- NPI 1518074632
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Glencoe, MN
- NPI 1508885633
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1639196389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR",
"address_2": "SUITE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224840",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 W 65TH ST",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-456-7000",
"fax_number": "952-456-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAASKEN",
"first_name": "TERESE",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MN",
"license": "10160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.