Haeden Nicole Waymack

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1138 Issued in AR

Practice address

3317 N Wimberly Dr
Fayetteville, AR 72703-4056

Phone

(479) 521-2752

Fax

(479) 521-4603

NPI assigned

Dec 8, 2022

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 AR

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

University of Arkansas College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozark Orthopaedics, P.a.Group PAC ID 2860477189, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
• Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001
• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Merit-based Incentive Payment System (MIPS)

Final score

91.41 of 100Reported as apm

Quality

79.26

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haeden.waymack.1@18403.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
• Direct secure messaging: hwaymack50576@washingtonregional.direct-ci.com

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.

• Ozark Orthopaedics, P.a.

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
  • NPI 1649210584
  Medicare reassignment Care Compare group
• Ozark Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Siloam Springs, AR
  • NPI 1255164570
  NPD
• Ozark Orthopaedics, P.a.

  • Orthopaedic Surgery Physician
  • Siloam Springs, AR
  • NPI 1649614231
  NPD (past)

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

• Northwest Arkansas Hospitals, LLC

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation
• Siloam Springs Arkansas Hospital Company LLC

  • General Acute Care Hospital
  • Siloam Springs, AR
  • NPI 1902051816
  Care Compare affiliation
• Washington Regional Medical Center

  • General Acute Care Hospital
  • Fayetteville, AR
  • NPI 1083609150
  Care Compare affiliation

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1255042347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603-2 N Progress Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Siloam Springs",
            "state": "AR",
            "postal_code": "727614610",
            "country_code": "US",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 SE Moberly Ln",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727127017",
            "country_code": "US",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3352 N Futrall Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034057",
            "country_code": "US",
            "telephone_number": "479-521-2752",
            "fax_number": "479-521-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYMACK",
        "first_name": "HAEDEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "PA-1138",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haeden.waymack.1@18403.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3317 N Wimberly Dr",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Watson Speech and Hearing Specialists
• Watson Speech and Hearing Specialists, Inc.
• Cynthia Watson, M.ED.,CCC-SLP
• Christopher Donavan Watts
• Kelli R Watts, SLP
• John Matthew Waymack, PHARM. D
• WCNC, Inc.
• Michelle D Weatherford
• Sarah Weatherford, APRN
• Stephanie Weatherford, PLMSW

• Physician Assistant in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.