Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Jordan Haberer, PA-C

Individual provider Physician Assistant · NPI 1649912908

Alyssa Jordan Haberer, PA-C is a Physician Assistant in Burnsville, Minnesota. Qualified in 2022, 4 years ago. Practices with Sunny S Kim MD PA, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1601 Highway 13 E
Burnsville, MN 55337-6865
Phone: (952) 405-9760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20635 Kuykendahl Rd, Spring, TX 77379-3533 — (952) 405-9760

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1649912908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sunny S Kim Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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