Individual provider Active NPI

Nicole Danielle Haas, PA-S

  • Physician Assistant
  • Shelby Township, MI
National Provider Identifier
1245836048
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013721 Issued in MI
Practice address
8180 26 Mile Rd Ste 300
Shelby Township, MI 48316-5139
Phone
(586) 800-0796
NPI assigned
Dec 7, 2020
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013721 MI Primary

Addresses

Primary practice location

8180 26 Mile Rd Ste 300
Shelby Township, MI 48316-5139

Mailing address

8180 26 Mile Rd Ste 300
Shelby Township, MI 48316-5139
Phone (586) 800-0796

Other identifiers 1

IdentifierTypeStateIssuer
9000197407MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260603000507 MI Practitioner - Physician Assistant 8729486436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Central Michigan College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Family HealthGroup PAC ID 3173433398, shared by 15 NPIs, 75 clinicians

Practice addresses (Care Compare)

1115 2ND St
Fort Lupton, CO 80621-1745
Phone (303) 857-2771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601013721MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients
RM Medical Mi, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicole.noble@sfhc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1245836048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165139",
            "telephone_number": "586-800-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165139",
            "telephone_number": "586-800-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000197407",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.