Mary Kaia Halverson-Durall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

995-023 Issued in WI

Practice address

2050 Fourth Avenue
Suite a
Stevens Point, WI 54481

Phone

(715) 346-4646

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Kaia Halverson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of Wisconsin System Non Payroll

  • Student Health Clinic/Center
  • Stevens Point, WI
  • NPI 1164680542
  NPD (past)
• University of Wisconsin System Non Payroll

  • Student Health Clinic/Center
  • Stevens Point, WI
  • NPI 1487849055
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1487711719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ASHFORD DR",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673050",
            "telephone_number": "715-252-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FOURTH AVENUE",
            "address_2": "SUITE A",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-346-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON-DURALL",
        "first_name": "MARY",
        "middle_name": "KAIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "995-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HALVERSON",
            "middle_name": "KAIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Lauren Halambeck, PA-C
• Sabine J Hale, MD
• Anthony Charles Hall, D.D.S.
• Linda Jean Haller, LAT
• Taylor Ann Halmstad
• Kayla Rae Hammon, RN
• Christin Hankinson
• Jennifer Hanlon, RDN, CD
• Lynsey M. Hansen, LAT
• Bailey Harding, MS, CCC-SLP

• Physician Assistant in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.