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TARA HAEFNER
NPI 1649630013
Audiologist in Roseville, MN

Active since February 29, 2016
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113(651) 638-9981 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Feb 29, 2016 (2 updates tracked since 2016).

About Tara Haefner NPPES

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

TARA HAEFNER (NPI 1649630013) is an individual audiologist in Roseville, Minnesota, licensed in Minnesota (9444) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1649630013
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameTARA HAEFNER
Location Address1835 COUNTY ROAD C WRoseville, MN 55113-1352
Mailing Address1835 County Road C WRoseville, MN 55113-1352
Phone(651) 638-9981
Sole ProprietorNo
Enumeration DateFebruary 29, 2016
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1649630013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MN · 9444
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1835 COUNTY ROAD C W, Roseville, MN 55113
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Haefner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tara Haefner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Audiology Distribution, LLC
612 mi
Audiologist-Hearing Aid Fitter
7136 MUIRFIELD DR STE C-100
Dublin, OH 43017
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1164707998 (614) 764-1510

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

Other Providers at the Same Location NPPES 17

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

DR. KIRK ROLAND BAUMGARDNER DDS, PHD
Dentist (Endodontics)
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 746-0587
DR. ANN PARKS NAPP AU.D.
Audiologist-Hearing Aid Fitter
1835 COUNTY ROAD C W, SUITE 80
ROSEVILLE, MN 55113
Ramsey County (651) 638-9981
KATHERINE HAILEY LAKE OTR/L
Occupational Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080
MR. FREDERICK CARL HJELM P.T.
Physical Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080
DR. PAMELA JEAN HOLM DDS
Dentist (General Practice)
1835 COUNTY ROAD C W, #220
ROSEVILLE, MN 55113
Ramsey County (651) 636-2123
PDG, PA
Clinic/Center (Dental)
1835 COUNTY ROAD C W, SUITE 200
ROSEVILLE, MN 55113
Ramsey County (651) 209-7088
LAUREN SUNDICK RPA-C
Physician Assistant
1835 COUNTY ROAD C W, SUITE 250
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
DAVID T CHANG MD
Neurological Surgery
1835 COUNTY ROAD C W, SUITE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800

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 Tara Haefner's NPI number?

The NPI number for Tara Haefner is 1649630013. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Tara Haefner located?

Tara Haefner practices at 1835 County Road C W, Roseville, MN 55113. The listed phone number is (651) 638-9981.

What is Tara Haefner's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Tara Haefner enrolled in Medicare?

Yes. Tara Haefner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Haefner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Haefner reassigns Medicare benefits to Audiology Distribution, LLC (Dublin, OH). The 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 Tara Haefner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Haefner was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.