Individual provider Active NPI

Carol Ann Haase, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1447870225
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3312 Issued in NV
Practice address
9159 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6454
Phone
(702) 485-5885
Fax
(702) 487-8838
NPI assigned
Apr 21, 2020
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3312 NV Primary

Addresses

Primary practice location

9159 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6454

Mailing address

3399 W Oquendo Rd
Las Vegas, NV 89118-3197
Phone (702) 577-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9159 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-6454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Peri-Op PLLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

6190 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 485-5885

9159 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 307-7700

Interoperability endpoints

  • Direct secure messaging: carol.haase@319701627568132.direct.elationemr.com

Organizations & group practices 1

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1447870225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 W OQUENDO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183197",
            "telephone_number": "702-577-1505",
            "fax_number": "702-487-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476454",
            "telephone_number": "702-485-5885",
            "fax_number": "702-487-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.