Active NPI
Alyssa Jordan Haberer, PA-C
- Physician Assistant
- Burnsville, MN
National Provider Identifier
1649912908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1601 Highway 13 E
Burnsville, MN 55337-6865 - Phone
- (952) 405-9760
- NPI assigned
- Apr 8, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1601 Highway 13 E
Burnsville, MN 55337-6865
Mailing address
700 Sunset Dr
Gettysburg, SD 57442-1902
Phone (605) 769-0242
Other practice location 1
20635 Kuykendahl Rd
Spring, TX 77379-3533
Phone (952) 405-9760
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230517000624 | MN | Practitioner - Physician Assistant | 9739545708 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sunny S Kim MD PA
Practice addresses (Care Compare)
6600 State Hwy 29 S
Alexandria, MN 56308-6196
Phone (952) 405-9760
Hospital & facility affiliations
- St Croix Regional Medical Center
- Allina United Hospital
- Glacial Ridge Hospital
- Sanford Medical Center Fargo
- Alomere Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny S. Kim, MD PA | Current | Accepting new patients | |
| Inspired Spine Surgcenter LLC | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
6600 State Highway 29 S
Alexandria, MN 56308
Phone (320) 763-8888
1601 Highway 13 E
Burnsville, MN 55337
Phone (612) 242-0517
1601 Highway 13 E
Ste 100
Burnsville, MN 55337
Phone (320) 763-8888
20635 Kuykendahl Rd
Spring, TX 77379
Phone (281) 363-7170
Interoperability endpoints
- inspiredspinehealth.alyssahaberer@157884.advancedmd-direct.com
- https://api.platform.athenahealth.com/22487/brand/1/csg/1/fhir/r4
- alyssa.haberer.1@15270.direct.athenahealth.com
- ahaberer689823@direct.centracare.com
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Burnsville, MN
- NPI 1336765098
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1649912908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SUNSET DR",
"city": "GETTYSBURG",
"state": "SD",
"postal_code": "574421902",
"telephone_number": "605-769-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 HIGHWAY 13 E",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376865",
"telephone_number": "952-405-9760"
}
],
"practiceLocations": [
{
"address_1": "20635 Kuykendahl Rd",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773793533",
"country_code": "US",
"telephone_number": "952-405-9760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABERER",
"first_name": "ALYSSA",
"middle_name": "JORDAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.