Allison Ann Van Haastert, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

130185 Issued in AK

Practice address

2741 Debarr Rd Ste C205
Anchorage, AK 99508-2961

Phone

(907) 279-2273

Fax

(907) 258-7705

NPI assigned

Jun 25, 2009

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Creighton University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Care of Alaska PCGroup PAC ID 8921091091, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Women's Care of Alaska, PC

  • Medical Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1174702468

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Galen Hospital Alaska, Inc.

  dba Alaska Regional Hospital

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047
  NPD (past)
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  NPD (past)

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

• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1801024021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082961",
            "telephone_number": "907-279-2273",
            "fax_number": "907-258-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082961",
            "telephone_number": "907-279-2273",
            "fax_number": "907-258-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_2": "60 MDG/ SGCGG",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5955 Zeamer Ave",
            "address_purpose": "LOCATION",
            "city": "Jber",
            "state": "AK",
            "postal_code": "995063702",
            "country_code": "US",
            "telephone_number": "907-580-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HAASTERT",
        "first_name": "ALLISON",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "26093",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "130185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687658",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caine Charles Van de Water
• Jennifer Hope Van Der Slice, LCSW
• Lian I Van Der Weel
• Katherine Nagele Van Duine, DVM
• Melissa Van Fossen, NP
• Niccole Elizabeth Van Hoey
• Nicholas A Van Lith, MD
• Abigail Van Nortwick
• Elizabeth Abigail Van Order, PA-C
• Carlene Jo Ann Van Tol, RN

• Obstetrics & Gynecology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Obstetrics & Gynecology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.