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

Kristopher Hasenauer

Individual provider Physician Assistant · NPI 1881098416

Kristopher Hasenauer is a Physician Assistant in Vero Beach, Florida. Qualified in 2014, 12 years ago. Practices with Emerald Medical LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2014
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Practice location Address checks out

6200 20th St Ste 378
Vero Beach, FL 32966-1014
Phone: (772) 307-9840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Nw University Blvd, Port St Lucie, FL 34986-2209 — (772) 307-9840

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1881098416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2014
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address2160 58th Ave # 318, Vero Beach, FL 32966-4647

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 Emerald Medical Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vero Beach