Individual provider Active NPI

Haley Rae Mader

  • Physician Assistant
  • Rock Rapids, IA
National Provider Identifier
1689375727
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
129648 Issued in IA
Practice address
1100 S 10TH Ave
Rock Rapids, IA 51246-2020
Phone
(712) 472-5400
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 129648 IA Primary

Addresses

Primary practice location

1100 S 10TH Ave
Rock Rapids, IA 51246-2020

Mailing address

1100 S 10TH Ave
Rock Rapids, IA 51246-2020
Phone (712) 472-5400

Other names 1

  • Haley Rae Jahnke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250428001148 IA Practitioner - Physician Assistant 0941726541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennan 957 clinicians
Sanford Health Network 357 clinicians

Practice addresses (Care Compare)

1100 S 10TH Ave
Rock Rapids, IA 51246-2020

1200 1St Ave E
Spencer, IA 51301-4342

Hospital & facility affiliations

  • Avera Merrill Pioneer Hospital Hospital, Rock Rapids, IA, CCN 161321
  • Avera Merrill Pioneer Hospital Nursing home, CCN 16Z321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Mar 10, 2025 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2025 Accepting new patients
Avera McKennan CurrentSince Mar 10, 2025 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

1100 S 10th Ave
Rock Rapids, IA 51246
Phone (712) 472-5300

1100 S 10th Ave
Ste 100
Rock Rapids, IA 51246
Phone (712) 472-5300

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Interoperability endpoints

  • Direct secure messaging: haley.mader@avera.sdhealthlink.net

Organizations & group practices 5

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 2

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1689375727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S 10TH AVE",
            "city": "ROCK RAPIDS",
            "state": "IA",
            "postal_code": "512462020",
            "telephone_number": "712-472-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S 10TH AVE",
            "city": "ROCK RAPIDS",
            "state": "IA",
            "postal_code": "512462020",
            "telephone_number": "712-472-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "HALEY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "129648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "JAHNKE",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Rapids, IA

Sources for this page

Verify at the official NPI Registry.