Individual provider Active NPI

Michelle G Haas, N.P.

  • Family Nurse Practitioner
  • Wauseon, OH
National Provider Identifier
1225403041
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18217-NP Issued in OH
Practice address
1190 N Shoop Ave
Wauseon, OH 43567-2224
Phone
(419) 335-4600
Fax
(419) 335-4900
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18217-NP OH Primary

Addresses

Primary practice location

1190 N Shoop Ave
Wauseon, OH 43567-2224

Mailing address

PO Box 351328
Toledo, OH 43635-1328
Phone (419) 335-4600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.haasnp.p1@direct.whc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160802002625 OH Practitioner - Nurse Practitioner 5991099749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18217-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc CurrentSince Jan 20, 2023 Accepting new patients
Infusion Associates PLLC PastSince Apr 1, 2002 Accepting new patients

Locations

2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600

Interoperability endpoints

  • Direct secure messaging: michelle.haasnp.p1@direct.whc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1225403041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351328",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436351328",
            "telephone_number": "419-335-4600",
            "fax_number": "419-335-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435672224",
            "telephone_number": "419-335-4600",
            "fax_number": "419-335-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MICHELLE",
        "middle_name": "G",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18217-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.haasnp.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "838 E Wooster St",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434023186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

Verify at the official NPI Registry.