Individual provider Active NPI

Jenna Kristen Haaf, CRNP

  • Family Nurse Practitioner
  • Aliquippa, PA
National Provider Identifier
1053945824
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021897 Issued in PA
Practice address
1 Hospital Dr
Aliquippa, PA 15001-2150
Phone
(724) 304-4950
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN663817 PA
Family Nurse Practitioner 363LF0000X SP021897 PA Primary

Addresses

Primary practice location

1 Hospital Dr
Aliquippa, PA 15001-2150

Mailing address

4200 Tuscarawas Rd
Beaver, PA 15009-9137
Phone (724) 581-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220826001886 PA Practitioner - Nurse Practitioner 5991189847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Pain Consultants LLCGroup PAC ID 8426274820, 3 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Aliquippa, PA 15001-2150
Phone (724) 304-4950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN663817PAMDRegistered Nurse
SP021897PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain Consultants LLC CurrentSince May 12, 2022 Accepting new patients
American Recovery Clinic LLC PastSince Mar 1, 2020 Accepting new patients

Locations

1 Hospital Dr
Ste 103
Aliquippa, PA 15001
Phone (724) 304-4950

1 Hospital Dr
Ste 3
Aliquippa, PA 15001
Phone (724) 857-0591

1 Hospital Dr
Ste 201
Aliquippa, PA 15001
Phone (724) 304-4950

1 Hospital Dr
Aliquippa, PA 15001
Phone (724) 375-0434

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

Interoperability endpoints

  • Direct secure messaging: jenna.haaf.1@27400.direct.athenahealth.com

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.

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": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053945824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099137",
            "telephone_number": "724-581-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012150",
            "telephone_number": "724-304-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAF",
        "first_name": "JENNA",
        "middle_name": "KRISTEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN663817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.