Madison Marie Roberts-Haley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61222036 Issued in WA

Practice address

1113 E Westview CT
Spokane, WA 99218-1319

Phone

(208) 263-9757

Fax

(208) 965-8128

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 Washington School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Idaho Pain Clinic PLLCGroup PAC ID 3274712609, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.58 of 100Reported as group

Quality

54.82

Improvement activities

40

Cost

73.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: idahopainclinicpllc.mrobertshaley@138052.advancedmd-direct.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.

• Idaho Pain Clinic PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Sandpoint, ID
  • NPI 1417267329

  WA

  Medicare reassignment Care Compare group
• Sandpoint Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Sandpoint, ID
  • NPI 1619370434
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1295348860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 W SUPERIOR ST STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642742",
            "telephone_number": "208-263-9757",
            "fax_number": "208-965-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E WESTVIEW CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181319",
            "telephone_number": "208-263-9757",
            "fax_number": "208-965-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-HALEY",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61222036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hope Roberson, LMP
• Robert E Stoffregen Ma PS
• Robert M Hughes DDS,PS
• Robert R. Shaw D.M.D.
• Robert Renck DDS PLLC (Lilac City Dental)
• Aaron James Roberts, DNP, PMHNP-BC
• Amy Elizabeth Roberts, LMHC
• April Lee Roberts, PH.D.
• Charles N. Roberts, MD
• Daisha Rakisha-Lynn Roberts

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.