Individual provider Active NPI

Tera Ann Hasbargen, M.D.

  • Emergency Medicine Physician
  • Duluth, MN
National Provider Identifier
1649525783
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
59706 Issued in MN
Practice address
407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950
Phone
(218) 786-4000
NPI assigned
Jul 15, 2012
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 108338 MN
Emergency Medicine Physician 207P00000X 4301101586 MI
Emergency Medicine Physician 207P00000X 59706 MN Primary

Addresses

Primary practice location

407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950

Mailing address

407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950
Phone (218) 786-4357

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002609 MN Practitioner - Emergency Medicine 3476781279 Reassigns benefits to 11 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101586MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Virginia, LLC CurrentSince Aug 17, 2015 Accepting new patients
Essentia Health Moose Lake CurrentSince May 17, 2021 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Aug 17, 2015 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Essentia Health Moose Lake CurrentSince May 17, 2021 Accepting new patients
Northern Pines Medical Center CurrentSince Aug 17, 2015 Accepting new patients
St Marys Medical Center CurrentSince Aug 17, 2015 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Aug 17, 2015 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Aug 17, 2015 Accepting new patients
St Joseph's Medical Center CurrentSince Feb 19, 2024 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
Northern Pines Medical Center CurrentSince Jan 1, 2026 Accepting new patients
St. Joseph's Medical Center CurrentSince Feb 19, 2024 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1649525783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 3RD ST",
            "address_2": "ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051950",
            "telephone_number": "218-786-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 3RD ST",
            "address_2": "ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051950",
            "telephone_number": "218-786-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBARGEN",
        "first_name": "TERA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "108338",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301101586",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "59706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.