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ANGELA HASOURIS
NPI 1508634379
Social Worker in Maple Grove, MN

Active since December 12, 2023PECOS EnrolledAccepts Medicare Assignment
9600 UPLAND LN N STE 110, MAPLE GROVE, MN 55369(952) 993-6200 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, Dec 12, 2023 (2 updates tracked since 2023).

About Angela Hasouris NPPES

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

ANGELA HASOURIS (NPI 1508634379) is an individual social worker in Maple Grove, Minnesota, licensed in Minnesota (31115) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1508634379
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANGELA HASOURIS
Location Address9600 UPLAND LN N STE 110Maple Grove, MN 55369-4499
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-6200
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 12, 2023
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1508634379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 31115
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 31115 (MN)
9600 UPLAND LN N STE 110, Maple Grove, MN 55369
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Secondary Practice Location 1

Location 15354 Parkdale DrSt Louis Park, MN 55416-1603 · Phone (888) 364-5977

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Hasouris 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 ID749713691
PECOS Enrollment IDI20241030002407
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angela Hasouris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Nicollet Clinic
5.4 mi
Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1447668678 (952) 977-1985
Emily Program P C
17 mi
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

DR. LISA MARIE ANDERSON PHD
Psychologist (Clinical)
9600 UPLAND LN N STE 110
MAPLE GROVE, MN 55369
Hennepin County (952) 993-6200
KRISTY MARKUS MAAS MSW, LICSW
Social Worker (Clinical)
9600 UPLAND LN N STE 110
MAPLE GROVE, MN 55369
Hennepin County (952) 993-6200
MARGARET FUNK M.D.
Family Medicine
9600 UPLAND LN N STE 110
MAPLE GROVE, MN 55369
Hennepin County (952) 993-6200
MRS. LAURA LORRAINE HILKER MSN, CNP
Nurse Practitioner (Family)
9600 UPLAND LN N STE 110
MAPLE GROVE, MN 55369
Hennepin County (952) 993-6200
JENNIFER RANALLO MSW, LICSW
Social Worker (Clinical)
9600 UPLAND LN N STE 110
MAPLE GROVE, MN 55369
Hennepin County (952) 993-6200
MATTHEW BRANDON CRUZ MA, LPCC, LADC
Counselor (Mental Health)
9600 UPLAND LN N STE 110
MAPLE GROVE, MN 55369
Hennepin County (952) 993-6200

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 Angela Hasouris's NPI number?

The NPI number for Angela Hasouris is 1508634379. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Angela Hasouris located?

Angela Hasouris practices at 9600 Upland Ln N Ste 110, Maple Grove, MN 55369. The listed phone number is (952) 993-6200.

What is Angela Hasouris's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Angela Hasouris enrolled in Medicare?

Yes. Angela Hasouris 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.

Which organizations bill Medicare for Angela Hasouris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Hasouris reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Brooklyn Park, MN) and Emily Program P C (St Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Hasouris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Hasouris accept?

Health plans from HealthPartners list Angela Hasouris 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 Angela Hasouris affiliated with any hospitals?

According to CMS data, Angela Hasouris is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Angela Hasouris was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.