Individual provider Active NPI

Melissa Haug, PA-C

  • Physician Assistant
  • Woodbridge, VA
National Provider Identifier
1023624905
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007428 Issued in VA
Practice address
14605 Potomac Branch Dr Ste 300
Woodbridge, VA 22191-3337
Phone
(703) 490-1112
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110007428 VA
Physician Assistant 363A00000X 0110007428 VA Primary

Addresses

Primary practice location

14605 Potomac Branch Dr Ste 300
Woodbridge, VA 22191-3337

Mailing address

14605 Potomac Branch Dr Ste 300
Woodbridge, VA 22191-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20201021000758 VA Practitioner - Physician Assistant 6305266917 Reassigns benefits to 1 organization
I20210203000189 DC Practitioner - Physician Assistant 6305266917 Reassigns benefits to 1 organization

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)

14605 Potomac Branch Dr
Suite 300
Woodbridge, VA 22191-3337
Phone (703) 490-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007428VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 14, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 31, 2020 Accepting new patients
Centers for Advanced Orthopaedics LLC CurrentSince Sep 14, 2020 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

14348 Gideon Dr
Woodbridge, VA 22192
Phone (703) 490-1112

Interoperability endpoints

  • Direct secure messaging: 13mehaug@cfaortho.emadirect.md

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 and National Provider Directory roles.

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1023624905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 POTOMAC BRANCH DR STE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14605 POTOMAC BRANCH DR STE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913337",
            "telephone_number": "703-490-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUG",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110007428",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.