Active NPI
Abigail Nadine Haskell, PA-C
- Medical Physician Assistant
- Truckee, CA
National Provider Identifier
1215513437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA59347
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4856 - Phone
- (530) 587-6011
- NPI assigned
- Mar 18, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PA59347 | CA | Primary |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161-4856
Mailing address
10121 Pine Ave
Truckee, CA 96161-4856
Phone (530) 582-1212
Other practice location 1
1108 4th St
South Lake Tahoe, CA 96150-3476
Phone (530) 542-5740
Other practice location 2
2201 South Ave
South Lake Tahoe, CA 96150-7025
Phone (530) 543-5623
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.06 of 100
- Quality
- 83.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 42.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA59347 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Forest Hospital District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1750950499
-
- Multi-Specialty Clinic/Center
- Truckee, CA
- NPI 1750412300
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Portola, CA
- NPI 1326044140
-
- Critical Access Hospital
- Portola, CA
- NPI 1982600920
-
- Critical Access Hospital
- Truckee, CA
- NPI 1538265780
-
- Critical Access Hospital
- Incline Village, NV
- NPI 1801957667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1215513437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614856",
"telephone_number": "530-582-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614856",
"telephone_number": "530-587-6011"
}
],
"practiceLocations": [
{
"address_1": "1108 4th St",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961503476",
"country_code": "US",
"telephone_number": "530-542-5740",
"fax_number": "530-542-5743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2201 South Ave",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961507025",
"country_code": "US",
"telephone_number": "530-543-5623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASKELL",
"first_name": "ABIGAIL",
"middle_name": "NADINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA59347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.