Individual provider Active NPI

Rebecca Lynne Haugaard, APRN

  • Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1396315636
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80244 Issued in KS
Practice address
2900 Amherst Ave Ste a
Manhattan, KS 66503-3046
Phone
(785) 539-8700
Fax
(785) 776-9788
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 53-80244 KS Primary

Addresses

Primary practice location

2900 Amherst Ave Ste a
Manhattan, KS 66503-3046

Mailing address

200 Research Dr
Manhattan, KS 66503-3049
Phone (785) 539-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210712002071 KS Practitioner - Nurse Practitioner 7113329251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manhattan Medical Group LLCGroup PAC ID 3870742505, 17 clinicians

Practice addresses (Care Compare)

2900 Amherst Ave
Suite a
Manhattan, KS 66503-3046
Phone (785) 539-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mosier & Mosier Family Physicians, LLP CurrentSince Jul 1, 2021 Accepting new patients
Manhattan Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

200 Research Dr
Manhattan, KS 66503
Phone (785) 236-9607

2900 Amherst Ave
Manhattan, KS 66503
Phone (785) 539-8700

2900 Amherst Ave
Ste A
Manhattan, KS 66503
Phone (785) 539-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDJBA
  • Direct secure messaging: rebecca.haugaard@mmgllc.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1396315636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RESEARCH DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033049",
            "telephone_number": "785-539-4644",
            "fax_number": "785-539-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 AMHERST AVE STE A",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033046",
            "telephone_number": "785-539-8700",
            "fax_number": "785-776-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGAARD",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-80244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.