Individual provider Active NPI

Haewon Rita Han, CRNA

  • Certified Registered Nurse Anesthetist
  • Beverly, MA
National Provider Identifier
1528215654
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
263609 Issued in MA
Practice address
85 Herrick St
Beverly, MA 01915-1790
Phone
(978) 816-3700
NPI assigned
Aug 20, 2008
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN570300 PA
Certified Registered Nurse Anesthetist 367500000X 263609 MA Primary

Addresses

Primary practice location

85 Herrick St
Beverly, MA 01915-1790

Mailing address

330 Brookline Ave
Yamins 219
Boston, MA 02215-5400
Phone (617) 667-3364

Other practice location 1

330 Brookline Ave
Yamins 219
Boston, MA 02215-5400
Phone (617) 667-3364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OR, CO, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20081027000065 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355409913 Reassigns benefits to 10 organizations
I20240508002248 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355409913 Reassigns benefits to 1 organization
I20250127000382 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355409913 Reassigns benefits to 1 organization
I20260113002676 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355409913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone 7707021806210

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
263609MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Mar 1, 2020 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 12, 2013 Accepting new patients
Bay Area Hospital District CurrentSince May 1, 2024 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Jan 5, 2024 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 12, 2013 Accepting new patients
Pratt Anesthesiology Associates, Inc CurrentSince Nov 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 4, 2022 Accepting new patients
Banner-University Medical Group Current Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2019 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Jan 1, 2026 Accepting new patients
Dha Endoscopy LLC CurrentSince May 13, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Mar 1, 2020 Accepting new patients
Dha Endoscopy LLC CurrentSince May 13, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2019 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Jan 1, 2026 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2025 Accepting new patients
Integrated Gastroenterology Consultants, PC Past Accepting new patients

Locations (25 of 35)

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

Dept LA 25339
Pasadena, CA 91185

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4500 Hospital Blvd
Ste 200
Roswell, GA 30076
Phone (770) 676-4600

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#203
Boston, MA 02215
Phone (617) 667-3364

330 Brookline Ave
#219
Boston, MA 02215
Phone (617) 667-3110

50 Staniford St
Boston, MA 02114
Phone (617) 723-2015

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

Interoperability endpoints

  • Direct secure messaging: hhan253456@direct.bilh.masshiway.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1528215654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "YAMINS 219",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-3364",
            "fax_number": "617-667-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151790",
            "telephone_number": "978-816-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Brookline Ave",
            "address_2": "Yamins 219",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155400",
            "country_code": "US",
            "telephone_number": "617-667-3364",
            "fax_number": "617-667-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "HAEWON",
        "middle_name": "RITA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN570300",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "263609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.