Katherine Marie Hafer, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71007398A Issued in IN

Practice address

833 Park East Blvd
Lafayette, IN 47905-0785

Phone

(765) 743-4400

NPI assigned

Aug 17, 2017

Last updated

Aug 17, 2017By 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

Medicare fee-for-service enrollment

Enrolled in IN

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sycamore Springs Physician Group LLCGroup PAC ID 2062634991, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Sycamore Springs Physician Group LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1972914539
  Medicare reassignment Care Compare group
• Acute Behavioral Health Services, P.C.

  • Hospitalist Physician
  • Lafayette, IN
  • NPI 1700453388
  Medicare reassignment NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1639695067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 ROTHERHAM LN",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461073323",
            "telephone_number": "317-441-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PARK EAST BLVD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050785",
            "telephone_number": "765-743-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71007398A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan D Haas, PA-C
• Emma Jo Habisch, OTR
• Hope Christina Hadding, MSW
• Callie J Haertle
• Belinda Kristin Haerum, MD, MPH
• Scot E Hagadorn, MD
• Zachary Hagedorn, PHARMD
• Carole Z Hahm, RPH
• Brittany Jesse Haines, D.O.
• Marta A Hajduczyk, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.