Active NPI
Betsy Lucille Van Haaften, PA-C
- Medical Physician Assistant
- Johnston, IA
National Provider Identifier
1023609690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 106508
- Practice address
- 5705 NW 100TH St Ste 100
Johnston, IA 50131-1813 - Phone
- (515) 726-3376
- Fax
- (515) 446-9707
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 106508 | IA | Primary |
Addresses
Primary practice location
5705 NW 100TH St Ste 100
Johnston, IA 50131-1813
Mailing address
6500 University Ave Unit 309
Des Moines, IA 50324-1664
Phone (641) 780-0473
Other practice location 1
629 228th Pl
Pella, IA 50219-7617
Phone (641) 780-0473
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362EA3363 | Other | IA | DRIVER'S LISENCE |
| 1774847 | Other | PA CERTIFICATION NUMBER | |
| 106508 | Other | IA | PA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | betsy.l.vanhaaften@dmu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 8TH St SW
Unity Point Clinic
Altoona, IA 50009-1028
Phone (515) 726-3376
5705 NW 100TH St
Suite 100
Johnston, IA 50131-1813
Phone (515) 726-3376
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 91.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- West Des Moines, IA
- NPI 1922562743
-
- Physician Assistant
- West Des Moines, IA
- NPI 1053366872
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1023609690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 UNIVERSITY AVE UNIT 309",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503241664",
"telephone_number": "641-780-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 NW 100TH ST STE 100",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311813",
"telephone_number": "515-726-3376",
"fax_number": "515-446-9707"
}
],
"practiceLocations": [
{
"address_1": "629 228th Pl",
"address_purpose": "LOCATION",
"city": "Pella",
"state": "IA",
"postal_code": "502197617",
"country_code": "US",
"telephone_number": "641-780-0473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN HAAFTEN",
"first_name": "BETSY",
"middle_name": "LUCILLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "106508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LISENCE",
"identifier": "362EA3363",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA CERTIFICATION NUMBER",
"identifier": "1774847",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "106508",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "betsy.l.vanhaaften@dmu.edu",
"affiliation": "N",
"address_1": "629 228th Pl",
"city": "Pella",
"state": "IA",
"country_code": "US",
"postal_code": "502197617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.