Kelly Kristine Haws, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA16150 Issued in CA

Practice address

1706 El Camino Real Ste 101
Menlo Park, CA 94027-4110

Phone

(650) 325-1395

Fax

(650) 325-2019

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

87.36 of 100Reported as group

Quality

72.92

Promoting interoperability

100

Improvement activities

40

Cost

84.95

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khaws13316@direct.whhs.com

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.

• Dearborn & Associates Institute for Joint Restoration

  • Orthopaedic Surgery Physician
  • Fremont, CA
  • NPI 1053344838
  Medicare reassignment
• Dearborn & Associates Institute for Joint Restoration

  • Orthopaedic Surgery Physician
  • Merced, CA
  • NPI 1205796679
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1124188826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110",
            "telephone_number": "650-325-1395",
            "fax_number": "650-325-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110",
            "telephone_number": "650-325-1395",
            "fax_number": "650-325-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS",
        "first_name": "KELLY",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA16150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Francis Harris, M.D.
• Trudy Ann Hartman, MD
• Methus Earth Hasassri, M.D.
• Christina Marie Hassija, PHD
• Maureen Mansfield Hawkins, PH.D.
• Gina Marie Hayashi, PH.D.
• Shannon Marie Healer, LCSW
• Health Freedom Network Inc
• Health Logic, LLC
• Eleanor Anne Hedenkamp, RN, MS, IBCLC

• Surgical Physician Assistant in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.