KELLEY ANNE HASENAUER (APRN) – Family Nurse Practitioner, NPI 1780699132

KELLEY ANNE HASENAUER (APRN) is a healthcare provider. based in North platte, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 110460 (NE). The NPI Number for KELLEY ANNE HASENAUER (APRN) is 1780699132

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY ANNE HASENAUER (APRN)
NPI
1780699132
Phone
(308) 534-0090
Address
810 W REID AVE
Enumeration Date
31 July 2006
Last Update Date
18 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085340090
Graduation Year
2001 (25 years ago)
PAC ID
0749270643
Group Practice PAC ID
9032336904
Professional Enrollment ID
I20040513001037
Address ID
NE691016582NO810XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for KELLEY ANNE HASENAUER (APRN)

  • 810, West Reid Avenue, North Platte, Lincoln County, Nebraska, 69101, United States

    SUITE 4

    NORTH PLATTE, NE 691016583

    Phone: (308) 534-0090

    Fax: (308) 534-0091

    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 77 Open Payments records for all available years, with a total value of $1,533.

Total Amount is formed as General ($1,533) + Research ($0) + Ownership ($0) = $1,533.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($724).

Total Amount

$1,533

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2004-05-13

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
I20040513001037INurse PractitionerNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes205138$0
99213Established patient office or other outpatient visit, 20-29 minutes169110$0
81003Automated urinalysis test4435$0
G0009Administration of pneumococcal vaccine3838$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use3535$0
View full utilization report →

Insurance plans in this area (ZIP 69101)

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Provider's Procedures

KELLEY ANNE HASENAUER (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNE90670Pneumococcal vaccine for injection into muscle1111

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: 9032336904View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerNE
Clinical Social WorkerNE

Reviews

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Frequently asked questions

What federal number belongs to KELLEY ANNE HASENAUER (APRN)?
The federal identifier for KELLEY ANNE HASENAUER (APRN) is NPI 1780699132.
Does this profile mean KELLEY ANNE HASENAUER (APRN) is currently active?
Yes — KELLEY ANNE HASENAUER (APRN) appears active in the national provider directory.
What field does KELLEY ANNE HASENAUER (APRN) work in?
You can think of KELLEY ANNE HASENAUER (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KELLEY ANNE HASENAUER (APRN)'s primary listing?
We display North Platte, Nebraska because that is what the record indicates for KELLEY ANNE HASENAUER (APRN).
Is KELLEY ANNE HASENAUER (APRN) a real provider?
This page reflects official NPPES data for NPI 1780699132. Always confirm identity and privileges with the practice and licensing boards.

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