Individual provider Active NPI

Makayla Skylar Paige Haas, APRN, DNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1225857550
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4029011 Issued in KY
Practice address
501 S 2ND St
Louisville, KY 40202-2862
Phone
(502) 583-7546
Fax
(502) 589-3429
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4029011 KY Primary

Addresses

Primary practice location

501 S 2ND St
Louisville, KY 40202-2862

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

159 S English Station Rd
Louisville, KY 40245-3996
Phone (502) 753-0056

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Makayla.Haas@forefrontdermatology.emadirect.md
Direct Messaging Address Makayla.Haas@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250220002916 KY Practitioner - Nurse Practitioner 4587184585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

501 S 2ND St
Louisville, KY 40202-2862
Phone (502) 583-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Nov 13, 2025 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Nov 13, 2025 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

159 S English Station Rd
Louisville, KY 40245
Phone (502) 753-0056

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: makayla.haas@forefrontdermatology.emadirect.md

Organizations & group practices 4

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1225857550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022862",
            "telephone_number": "502-583-7546",
            "fax_number": "502-589-3429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 S English Station Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402453996",
            "country_code": "US",
            "telephone_number": "502-753-0056",
            "fax_number": "502-753-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MAKAYLA",
        "middle_name": "SKYLAR PAIGE",
        "credential": "APRN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4029011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Makayla.Haas@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "501 S 2nd St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402022862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Makayla.Haas@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "159 S English Station Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402453996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.