Individual provider Active NPI

Katy Lynn Haddon, APRN, NP-C

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1497212807
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001022 Issued in FL
Practice address
501 SE Osceola St
Stuart, FL 34994-2301
Phone
(772) 287-5200
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001022 FL Primary

Addresses

Primary practice location

501 SE Osceola St
Stuart, FL 34994-2301

Mailing address

501 SE Osceola St
Stuart, FL 34994-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190327000356 FL Practitioner - Nurse Practitioner 4385984491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001022FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 6, 2019 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862

13060 US Highway 1
Fl Cancer
Sebastian, FL 32958
Phone (772) 589-0879

13060 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 589-0879

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

301 SE Ocean Blvd
Ste 102
Stuart, FL 34994
Phone (772) 287-4061

501 SE Osceola St
Ste 301
Stuart, FL 34994
Phone (772) 223-5955

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: khaddon2496296@direct.ccf.org

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1497212807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942301",
            "telephone_number": "772-287-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDON",
        "first_name": "KATY",
        "middle_name": "LYNN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.