Katherine Marie Haverly, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1383 Issued in SD

Practice address

118 N 7TH Ave
Sheldon, IA 51201-1235

Phone

(712) 324-5041

NPI assigned

Jan 19, 2021

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khaverly17064195@direct.sanfordhealth.org

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.

• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  dba Avera Medical Group Comprehensive Weight Management

  • Obesity Medicine (Family Medicine) Physician
  • Sioux Falls, SD
  • NPI 1457096133
  NPD
• Avera McKennan

  dba Milbank Area Hospital After Hours Clinic

  • Critical Access Hospital Clinic/Center
  • Milbank, SD
  • NPI 1013024009
  NPD (past)
• Avera McKennan

  dba Avera Medical Group

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera McKennan

  dba Avera Medical Group Urogynecology Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group Rheumatology Sioux Falls

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group University Psychiatry Associates Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group Brain and Spine Institute

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera McKennan Hospital and University Health Center - Diabetic Ed

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1184834764
  Care Compare affiliation
• Avera McKennan

  dba Avera Gastroenterology Sioux Falls

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1194799882

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group Womens Health Specialists Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Medical Group

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514

  Hospital

  Care Compare affiliation
• Avera McKennan

  dba Avera Endocrinology and Diabetes

  • Endocrinology, Diabetes & Metabolism Physician
  • Sioux Falls, SD
  • NPI 1396711016

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1215527882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 10TH ST",
            "city": "DELL RAPIDS",
            "state": "SD",
            "postal_code": "570221217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-324-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERLY",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1383",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "107042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khaverly17064195@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "118 N 7th Ave",
            "city": "Sheldon",
            "state": "IA",
            "country_code": "US",
            "postal_code": "512011235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Wayne Grevengoed, CNP
• Amber Joy Groendyke
• Ryan Groeneweg, ED.S., BCBA
• Michelle Lynn Hardie
• Timothy J Hartokolis, P.T.
• Healing Light Connections
• Ashtyn Christine Hoekstra
• Mandy Sue Hoekstra
• Jolene Rachel Hofmeyer, DPT
• Matthiew Hoogland

• Physician Assistant in Sheldon, IA
• Providers in Sheldon, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.