Individual provider Active NPI

Heather M Haskins, P.A.

  • Medical Physician Assistant
  • Meadville, PA
National Provider Identifier
1124215017
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053154 Issued in PA
Practice address
1034 Grove St
Meadville, PA 16335-2945
Phone
(814) 373-3472
Fax
(814) 373-3477
NPI assigned
Sep 25, 2007
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053154 PA Primary

Addresses

Primary practice location

1034 Grove St
Meadville, PA 16335-2945

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-3472

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
I20071010000558 PA Practitioner - Physician Assistant 4688760366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1015 Grove St
Meadville, PA 16335-2905
Phone (814) 337-5894

1034 Grove St
Meadville, PA 16335-2945

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince May 3, 2014 Accepting new patients
Titusville Area Hospital CurrentSince Feb 27, 2018 Accepting new patients
Titusville Area Hospital CurrentSince Feb 27, 2018 Accepting new patients
Meadville Medical Center CurrentSince May 3, 2014 Accepting new patients

Locations

1015 Grove St
Meadville, PA 16335
Phone (814) 337-5894

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

11277 Vernon Pl
Ste 200
Meadville, PA 16335
Phone (814) 373-2230

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: heather.haskins@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1124215017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-3472",
            "fax_number": "814-373-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-3472",
            "fax_number": "814-373-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.