Adam Haeffner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3434 Issued in CO

Practice address

3010 N Circle Dr
Suite 202
Colorado Springs, CO 80909-1182

Phone

(719) 228-9440

Fax

(719) 228-9061

NPI assigned

Jul 19, 2012

Sex

Male

Sole proprietor

No

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.

• Colorado Springs Interventional Pain Management PC

  • Pain Medicine (Anesthesiology) Physician
  • Colorado Springs, CO
  • NPI 1215097175

  CO

  Medicare reassignment

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: adam.haeffner@corhio.medicity.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2012.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1134474752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 N CIRCLE DR",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091182",
            "telephone_number": "719-228-9440",
            "fax_number": "719-228-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 N CIRCLE DR",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091182",
            "telephone_number": "719-228-9440",
            "fax_number": "719-228-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEFFNER",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly R Slone Haddock, PT
• Kevin M Haddock, PT
• Carmina Hadley, PSYD
• Jessica Haebig
• Daniel Walter Haecker, PA-C
• Holly N Haemmerle, RN
• Joy D Haemmerle, LMT
• Brett Haeuptle, PT
• Melody Rose Hafer, DPT
• Kristen E. Haflett, LCSW

• All providers in Colorado Springs, CO
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.