Individual provider Active NPI

Haley Anne Callahan

  • Physician Assistant
  • North Andover, MA
National Provider Identifier
1154969632
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NH2 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
I20211208003196 MA Practitioner - Physician Assistant 3577953488 Reassigns benefits to 1 organization
I20230623001436 NH Practitioner - Physician Assistant 3577953488 Reassigns benefits to 1 organization

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
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

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 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC Current Accepting new patients
Neda at North Shore PC CurrentSince Mar 1, 2023 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

  • Direct secure messaging: haley.callahan@pd.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.