Individual provider Active NPI

Haley Marie Keesaman, PA-C

  • Physician Assistant
  • Saint Joseph, MO
National Provider Identifier
1063054039
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2023011685 Issued in MO
Practice address
802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508
Phone
(816) 271-4025
Fax
(816) 271-4026
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2023011685 MO Primary

Addresses

Primary practice location

802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508

Mailing address

9350 SW State Route J
Osborn, MO 64474-9166
Phone (605) 464-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, 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
I20191122002681 SD Practitioner - Physician Assistant 9234561689 Reassigns benefits to 1 organization
I20230816000982 MO Practitioner - Physician Assistant 9234561689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

802 N Riverside Rd
160 Mosaic Life Care
Saint Joseph, MO 64507-2508
Phone (816) 271-6666

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.47 of 100Reported as group
Quality
81.87
Promoting interoperability
99
Improvement activities
40
Cost
30.23

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023011685MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Oct 15, 2019 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 13, 2023 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 13, 2023 Accepting new patients
Horizon Health Care, Inc CurrentSince Oct 15, 2019 Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

802 N Riverside Rd
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-4025

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121

Organizations & group practices 7

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 2

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1063054039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SW STATE ROUTE J",
            "city": "OSBORN",
            "state": "MO",
            "postal_code": "644749166",
            "telephone_number": "605-464-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072508",
            "telephone_number": "816-271-4025",
            "fax_number": "816-271-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESAMAN",
        "first_name": "HALEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023011685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.