NICHOLE J HASSEBROEK CNP
NPI 1407131063
Nurse Practitioner in Bemidji, MN

Active since October 14, 2011PECOS EnrolledAccepts Medicare Assignment
93.75/100
CMS Quality Rating
1233 34TH ST NW, BEMIDJI, MN 56601(218) 333-5522 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole J Hassebroek Cnp NPPES

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

NICHOLE J HASSEBROEK CNP (NPI 1407131063) is an individual nurse practitioner in Bemidji, Minnesota, licensed in South Dakota (CP000666) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1407131063
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLE J HASSEBROEKCredential: CNP
Location Address1233 34TH ST NWBemidji, MN 56601-5112
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 312-9802
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 14, 2011
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
NPI 1407131063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP000666
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1233 34TH ST NW, Bemidji, MN 56601

Secondary Practice Location 1

Location 11115 E 20th StSioux Falls, SD 57105-1013 · Phone (605) 339-1783 · Fax (605) 367-7157

Accepted Insurance

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

Nichole J Hassebroek Cnp 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 ID2365608031
PECOS Enrollment IDI20180130002650
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 2

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 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.
326 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services85 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Sanford Bagley Medical Center

Critical Access Hospitals · Bagley, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241328
Location203 4th Street NorthwestBagley, MN 56621 · Clearwater County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.18
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims864 services$0.62 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$15.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
1233 34TH ST NW
BEMIDJI, MN 56601
Hospitalist
1233 34TH ST NW
BEMIDJI, MN 56601
Family Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Surgery
1233 34TH ST NW
BEMIDJI, MN 56601
Nurse Practitioner (Family)
1233 34TH ST NW
BEMIDJI, MN 56601
Internal Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Radiology (Diagnostic Radiology)
1233 34TH ST NW
BEMIDJI, MN 56601
Nurse Practitioner
1233 34TH ST NW
BEMIDJI, MN 56601

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 Nichole Hassebroek's NPI number?

The NPI number for Nichole Hassebroek is 1407131063. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is Nichole Hassebroek located?

Nichole Hassebroek practices at 1233 34th St NW, Bemidji, MN 56601. The listed phone number is (218) 333-5522.

What is Nichole Hassebroek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nichole Hassebroek enrolled in Medicare?

Yes. Nichole Hassebroek 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.

What insurance does Nichole Hassebroek accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Nichole Hassebroek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nichole Hassebroek affiliated with any hospitals?

According to CMS data, Nichole Hassebroek is affiliated with Sanford Bemidji Medical Center, Sanford Bagley Medical Center and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Nichole Hassebroek was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.