Brant Nicholas Hacker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46741 Issued in MN

Practice address

900 2ND Ave
Madison, MN 56256-1006

Phone

(320) 598-7551

Fax

(320) 598-3798

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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.

• Lac Qui Parle Clinic of Madison Inc

  • Rural Health Clinic/Center
  • Madison, MN
  • NPI 1144266156

  MN

  Medicare reassignment Care Compare group NPD
• Madison Healthcare Services

  • Critical Access Hospital
  • Madison, MN
  • NPI 1942246848

  MN

  Medicare reassignment Care Compare group NPD
• Madison Healthcare Services

  • Home Health Agency
  • Madison, MN
  • NPI 1386741684
  Care Compare group
• Madison Healthcare Services

  • Skilled Nursing Facility
  • Madison, MN
  • NPI 1306832795
  NPD (past)

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

• Carris Health LLC

  • Community Based Hospice Care Agency
  • Willmar, MN
  • NPI 1306359856

  Hospice

  Care Compare affiliation
• CCM Health

  • Urgent Care Clinic/Center
  • Montevideo, MN
  • NPI 1275057978

  Hospital

  Care Compare affiliation
• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028

  Hospital

  Care Compare affiliation
• Madison Healthcare Services

  • Skilled Nursing Facility
  • Madison, MN
  • NPI 1306832795

  Nursing home

  Care Compare affiliation
• Madison Healthcare Services

  • Home Health Agency
  • Madison, MN
  • NPI 1386741684
  Care Compare affiliation
• Madison Healthcare Services

  • Critical Access Hospital
  • Madison, MN
  • NPI 1942246848

  Hospital

  Care Compare affiliation

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Madison Healthcare Services

  • Skilled Nursing Facility
  • Madison, MN
  • NPI 1306832795

  W-2 Managing Employee

  CMS ownership

Specialty

General Practice

Education

University of Minnesota Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Healthcare Services 29 clinicians

Lac Qui Parle Clinic of Madison Inc 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Home Health Agency Home health agency, Madison, MN, CCN 247111
• Centracare Hospice Hospice, Willmar, MN, CCN 241509
• Madison Hospital Hospital, Madison, MN, CCN 241372
• Chippewa County Hospital Hospital, Montevideo, MN, CCN 241325
• Madison Healthcare Services Nursing home, Madison, MN, CCN 245382
• Madison Hospital Nursing home, CCN 24Z372

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

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhacker323221@direct.centracare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2017.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1679633655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7551",
            "fax_number": "320-598-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7551",
            "fax_number": "320-598-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "BRANT",
        "middle_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508995600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centracare Medical Supply LLC
• City of Madison
• Michael Eugene Deyo, PA-C
• Grace Haven Assisted Living LLC
• Granite Family Eyecare, Inc
• Amanda Heinrich, PT
• Wayne Hennen, RPT
• Nancy Hinrichsen
• Paul E Hodge, FNP-C
• Laura Pons Hong, M.D.

• All providers in Madison, MN
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.