Individual provider Active NPI

Kristen Kathleen Hasson, M.D.

  • Pulmonary Disease Physician
  • Robbinsdale, MN
National Provider Identifier
1740469592
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
105627 Issued in MN
Practice address
3366 Oakdale Ave N
Suite 605
Robbinsdale, MN 55422-2948
Phone
(763) 520-2940
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6628899-1205 UT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 105627 MN
Pulmonary Disease Physician 207RP1001X 105627 MN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 105627 MN

Addresses

Primary practice location

3366 Oakdale Ave N
Suite 605
Robbinsdale, MN 55422-2948

Mailing address

3366 Oakdale Ave N
Suite 605
Robbinsdale, MN 55422-2948
Phone (763) 520-2940

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
I20110922000366 MN Practitioner - Critical Care (Intensivists) 7416002043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Respiratory Consultants PAGroup PAC ID 6204736853, 22 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

3366 Oakdale Ave N
Suite 401
Robbinsdale, MN 55422-2986
Phone (763) 520-2940

Hospital & facility affiliations

  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
  • Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6628899-1205UTMDInternal Medicine Physician
105627MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Sep 1, 2011 Accepting new patients
North Memorial Health Care Current Accepting new patients
Respiratory Consultants PA Pulmonary Disease CurrentSince Sep 1, 2011 Accepting new patients

Locations

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887

3366 Oakdale Ave N
Ste 605
Robbinsdale, MN 55422
Phone (612) 561-5986

3366 Oakdale Ave N
Ste 401
Robbinsdale, MN 55422
Phone (763) 398-6383

Interoperability endpoints

  • Direct secure messaging: khasson17210@direct.northmemorial.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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1740469592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N",
            "address_2": "SUITE 605",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222948",
            "telephone_number": "763-520-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N",
            "address_2": "SUITE 605",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222948",
            "telephone_number": "763-520-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSON",
        "first_name": "KRISTEN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "6628899-1205",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "105627",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "105627",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MN",
            "license": "105627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.