Eileen Johanna Haeg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MN9262 Issued in MN

Practice address

112 Abbey Rd
Collegeville, MN 56321-7777

Phone

(320) 263-3124

Fax

(320) 363-3124

NPI assigned

Jun 23, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Order of St. Benedict

  dba St. John's University Health Center

  • Clinic/Center
  • Collegeville, MN
  • NPI 1144226226
  NPD (past) Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841296910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ABBEY RD",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "563217777",
            "telephone_number": "320-263-3142",
            "fax_number": "320-363-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ABBEY RD",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "563217777",
            "telephone_number": "320-263-3124",
            "fax_number": "320-363-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEG",
        "first_name": "EILEEN",
        "middle_name": "JOHANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "MN9262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP26988",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0115114",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "83A20HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "989631015831",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7926656100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Robert Bierscheid, A.T.C.
• Group Health Plan, Inc. (HealthPartners Central Minnesota Clinics on the Campus of Saint John's)
• Gayle Christine Leen, PA-C
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Order of St. Benedict (St. John's University Health Center)
• Radar, LLC (RADAR Counseling)
• Holly Nichole Remmenga, ATC

• Physician Assistant in Collegeville, MN
• Providers in Collegeville, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.