Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hakkon Rosendahl, PA

Individual provider Physician Assistant · NPI 1558760512

Hakkon Rosendahl, PA is a Physician Assistant in Albert Lea, Minnesota. Qualified in 2014, 12 years ago. Practices with North Iowa Mercy Clinics, a 300-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Minnesota.

Years since qualifying
12
Licensed in
IA, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

404 W Fountain St
Albert Lea, MN 56007-2437
Phone: (507) 373-2384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 4th St Sw, Mason City, IA 50401-2800 — (641) 428-7234
  • 1000 1st Dr Nw, Austin, MN 55912-2941 — (507) 433-7351

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11675 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 074801 (IA)

Record details

NPI number1558760512
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice North Iowa Mercy Clinics — 300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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