MARK HASENAUER (PA) – Physician Assistant, NPI 1255703252

MARK HASENAUER (PA) is a healthcare provider. based in Sebastian, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA 9109153 (FL). The NPI Number for MARK HASENAUER (PA) is 1255703252

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MARK HASENAUER (PA)
NPI
1255703252
Phone
Not provided
Address
8701 N US HIGHWAY 1
Enumeration Date
29 October 2015
Last Update Date
25 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722288480
Graduation Year
2015 (11 years ago)
PAC ID
3274830187
Group Practice PAC ID
3678614344
Professional Enrollment ID
I20191024001588
Address ID
FL329587524SE8701X1XXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MARK HASENAUER (PA)

  • 8701 N US HIGHWAY 1

    SEBASTIAN, FL 329587524

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $408.

Total Amount is formed as General ($408) + Research ($0) + Ownership ($0) = $408.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Silk Road Medical, Inc. ($149).

Total Amount

$408

General + Research + Ownership

Payments

11

Total payment records

General Amount

$408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191024001588IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32958)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678614344View full group profile
NameSpecialtyState
Internal MedicineFL
Physician AssistantFL
Internal MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify MARK HASENAUER (PA) for billing?
Administrative and clinical systems typically use NPI 1255703252 for MARK HASENAUER (PA).
Is MARK HASENAUER (PA)'s NPI status active today?
Active status means MARK HASENAUER (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits MARK HASENAUER (PA)?
NPPES ties MARK HASENAUER (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARK HASENAUER (PA)?
The directory associates MARK HASENAUER (PA) with Sebastian, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for MARK HASENAUER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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