Ann M Haack, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

354 Issued in WY

Practice address

4140 Centennial Hills Blvd
Ste a
Casper, WY 82609-3265

Phone

(307) 265-7205

Fax

(307) 235-6262

NPI assigned

Mar 22, 2006

Last updated

Oct 3, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Casper Orthopaedic Associates PCGroup PAC ID 9436148624, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Summit Medical Center Hospital, Casper, WY, CCN 530034

Merit-based Incentive Payment System (MIPS)

Final score

33.71 of 100Reported as group

Quality

39.66

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahaack@yourcarecommunity.org
• Direct secure messaging: annhaack@casperorth.allscriptsdirect.net
• Direct secure messaging: annie.haack@direct.wyomingmedicalcenter.org

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.

• Casper Orthopaedic Associates PC

  dba Casper Orthopedics

  • Orthopaedic Surgery Physician
  • Casper, WY
  • NPI 1962494864

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Casper Orthopaedic Associates PC

  • Durable Medical Equipment & Medical Supplies
  • Douglas, WY
  • NPI 1912622721
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Summit Medical Center, LLC

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1609297506
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1629037130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD",
            "address_2": "STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD",
            "address_2": "STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAACK",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "313835",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul L. Gustafson, O.D.
• Aleece Gutierrez, LMSW
• Elizabeth Louise Gutierrez, PHARM D
• Teresa Gutwein, BSW
• Gway Health (Jen Galloway, FNP Primary and Functional Medicine)
• James Byrd Haden, MD
• Miranda Ann Haefele, DDS
• Peter A Haftkowycz, M.D.
• Reed Ray Haga, DO
• Keith Hageman, LPC

• Physician Assistant in Casper, WY
• Providers in Casper, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.