Individual provider Active NPI

Calla M Hass, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1023478310
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010141 Issued in KY
Practice address
1325 Triplett St
# A
Owensboro, KY 42303-3163
Phone
(270) 686-8500
Fax
(270) 685-5467
NPI assigned
Feb 29, 2016
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010141 KY Primary

Addresses

Primary practice location

1325 Triplett St
# A
Owensboro, KY 42303-3163

Mailing address

1325 Triplett St
# A
Owensboro, KY 42303-3163
Phone (270) 686-8500

Other practice location 1

2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569
Phone (270) 688-1352

Other identifiers 1

IdentifierTypeStateIssuer
7100393890MedicaidKY

Other names 1

  • Calla M Freeman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chass61872@direct.owensborohealth.org Owensboro Health Medical Group Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160405000529 KY Practitioner - Nurse Practitioner 6002113156 Reassigns benefits to 2 organizations
I20260527000973 MO Practitioner - Nurse Practitioner 6002113156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerme Medical Group PCGroup PAC ID 7214392059, 13 clinicians

Practice addresses (Care Compare)

1335 Stranssner Dr
Brentwood, MO 63144-1872
Phone (877) 367-9772

2211 Mayfair Dr
Suite 305
Owensboro, KY 42301-4572
Phone (270) 688-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010141KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Mar 28, 2016 Accepting new patients
Owensboro Health Medical Group, Inc Family CurrentSince Mar 28, 2016 Accepting new patients

Locations

1325 Triplett St
#A
Owensboro, KY 42303
Phone (270) 686-8500

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2211 Mayfair Dr
Ste 305
Owensboro, KY 42301
Phone (270) 688-3700

Interoperability endpoints

  • Direct secure messaging: chass61872@direct.owensborohealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023478310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST",
            "address_2": "# A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033163",
            "telephone_number": "270-686-8500",
            "fax_number": "270-685-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST",
            "address_2": "# A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033163",
            "telephone_number": "270-686-8500",
            "fax_number": "270-685-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Mayfair Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014569",
            "country_code": "US",
            "telephone_number": "270-688-1352",
            "fax_number": "270-683-4313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASS",
        "first_name": "CALLA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100393890",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chass61872@direct.owensborohealth.org",
            "affiliation": "Y",
            "affiliationName": "Owensboro Health Medical Group Inc",
            "address_1": "1325 Triplett St",
            "address_2": "# A",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423033163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CALLA",
            "last_name": "FREEMAN",
            "middle_name": "M",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.