Individual provider Active NPI

Hilary Elizabeth Haag

  • Physician Assistant
  • Hannibal, MO
National Provider Identifier
1487128385
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2019001382 Issued in MO
Practice address
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone
(573) 629-3480
Fax
(573) 629-3987
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 2019001382 MO Primary

Addresses

Primary practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

821 US Highway 24 36 E
Monroe City, MO 63456-1470
Phone (573) 735-2506

Other practice location 2

8 Town Center Dr
Bowling Green, MO 63334-2803
Phone (573) 324-2241

Other practice location 3

1100 Virginia Ave
Columbia, MO 65212-0001
Phone (573) 882-2663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190312001420 MO Practitioner - Physician Assistant 2163761057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

211 S 3Rd St
Louisiana, MO 63353-2000
Phone (573) 754-5555

400 S Ctr St
Shelbina, MO 63468-1404
Phone (573) 588-4131

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

821 Hwy 24 and 36 E
Monroe City, MO 63456-1470
Phone (573) 735-2506

Hospital & facility affiliations

  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc CurrentSince Jan 8, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 8, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients

Locations

8 Town Center Dr
Bowling Green, MO 63334
Phone (573) 324-2241

1802 Elm St
Canton, MO 63435
Phone (573) 288-5360

6500 Hospital Dr
Ste 2A
Hannibal, MO 63401
Phone (573) 629-3400

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

3650 Stardust Dr
Hannibal, MO 63401
Phone (573) 231-0660

211 S 3rd St
Louisiana, MO 63353
Phone (573) 754-5555

400 S Center St
Shelbina, MO 63468
Phone (573) 588-4131

Interoperability endpoints

  • Direct secure messaging: hilaryhaag@hrmg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1487128385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3480",
            "fax_number": "573-629-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 US Highway 24 36 E",
            "address_purpose": "LOCATION",
            "city": "Monroe City",
            "state": "MO",
            "postal_code": "634561470",
            "country_code": "US",
            "telephone_number": "573-735-2506",
            "fax_number": "573-735-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633342803",
            "country_code": "US",
            "telephone_number": "573-324-2241",
            "fax_number": "573-324-9854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-2663",
            "fax_number": "573-882-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAG",
        "first_name": "HILARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019001382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1100 Virginia Ave",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.