JACQUELINE SUZANNE HASBROUCK CRNP
NPI 1093589822
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in York, PA

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment
30 MONUMENT RD STE 1100, YORK, PA 17403(717) 851-6000 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Nov 13, 2023 (2 updates tracked since 2023).

About Jacqueline Suzanne Hasbrouck Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE SUZANNE HASBROUCK CRNP (NPI 1093589822) is an individual advanced heart failure and transplant cardiology provider in York, Pennsylvania, licensed in Pennsylvania (SP028224) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093589822
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameJACQUELINE SUZANNE HASBROUCKCredential: CRNP
Location Address30 MONUMENT RD STE 1100York, PA 17403-5024
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1093589822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in PA · SP028224
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License SP028224 (PA)
30 MONUMENT RD STE 1100, York, PA 17403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Suzanne Hasbrouck Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789028986
PECOS Enrollment IDI20240215002306
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Genetic Counselor, MS
30 MONUMENT RD STE 1100
YORK, PA 17403
Nurse Practitioner (Gerontology)
30 MONUMENT RD STE 1100
YORK, PA 17403
Internal Medicine (Interventional Cardiology)
30 MONUMENT RD STE 1100
YORK, PA 17403
Nurse Practitioner (Gerontology)
30 MONUMENT RD STE 1100
YORK, PA 17403
Internal Medicine (Cardiovascular Disease)
30 MONUMENT RD STE 1100
YORK, PA 17403
Physician Assistant (Surgical)
30 MONUMENT RD STE 1100
YORK, PA 17403
Nurse Practitioner (Family)
30 MONUMENT RD STE 1100
YORK, PA 17403
Physician Assistant
30 MONUMENT RD STE 1100
YORK, PA 17403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Hasbrouck's NPI number?

The NPI number for Jacqueline Hasbrouck is 1093589822. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Jacqueline Hasbrouck located?

Jacqueline Hasbrouck practices at 30 Monument Rd Ste 1100, York, PA 17403. The listed phone number is (717) 851-6000.

What is Jacqueline Hasbrouck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Jacqueline Hasbrouck enrolled in Medicare?

Yes. Jacqueline Hasbrouck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacqueline Hasbrouck affiliated with any hospitals?

According to CMS data, Jacqueline Hasbrouck is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Good Samaritan Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Hasbrouck was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.