Active NPI
Haley Anne Callahan
- Physician Assistant
- North Andover, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 198 Massachusetts Ave
North Andover, MA 01845-4143 - Phone
- (978) 691-5690
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
198 Massachusetts Ave
North Andover, MA 01845-4143
Mailing address
198 Massachusetts Ave
North Andover, MA 01845-4143
Phone (978) 691-5690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690
538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.63 of 100
- Quality
- 84.27
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Dermatology Associates, PC | Current | Accepting new patients | |
| Neda at North Shore PC | Current | Accepting new patients |
Locations
22 South St
Ste 205
Hopkinton, MA 01748
538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201
1208B Vfw Pkwy
Ste 200
West Roxbury, MA 02132
Phone (617) 608-1575
7 Greenwood Ave
Conway, NH 03818
Phone (603) 447-2555
51 Webb Pl
Dover, NH 03820
Phone (603) 834-9116
23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684
155 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (504) 914-5254
155 Borthwick Ave
Ste 201W
Portsmouth, NH 03801
Phone (603) 433-9575
302 Innovation Dr
Ste 400
Franklin, TN 37067
Interoperability endpoints
- haley.callahan@pd.eclinicaldirectplus.com
- hcallahanpa@nedermatology.emadirect.md
Organizations & group practices 3
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.
-
- Specialist
- North Andover, MA
- NPI 1104921162
-
- Specialist
- Exeter, NH
- NPI 1508061839
-
- Dermatology Physician
- Marblehead, MA
- NPI 1902345861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1154969632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018454143",
"telephone_number": "978-691-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018454143",
"telephone_number": "978-691-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "HALEY",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.