Individual provider Active NPI

Heather Marie Haun, RN

  • Family Nurse Practitioner
  • Neillsville, WI
National Provider Identifier
1811297385
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7809-33 Issued in WI
Practice address
1403 Hewett St
Neillsville, WI 54456-1128
Phone
(608) 343-8809
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 153308 WI
Family Nurse Practitioner 363LF0000X 7809-33 WI Primary

Addresses

Primary practice location

1403 Hewett St
Neillsville, WI 54456-1128

Mailing address

1403 Hewett St
Neillsville, WI 54456-1128
Phone (608) 343-8809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170912001563 WI Practitioner - Nurse Practitioner 9335412493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tomah Memorial Hospital IncGroup PAC ID 6901897016, 54 clinicians

Practice addresses (Care Compare)

501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181

Hospital & facility affiliations

  • Tomah Memorial Hospital Hospital, Tomah, WI, CCN 521320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153308WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Aug 15, 2017 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Black River Health Inc CurrentSince Jan 1, 2021 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Aug 15, 2017 Accepting new patients
Black River Health Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

321 Butts Ave
Tomah, WI 54660
Phone (608) 372-2181

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

101 Unity Dr
Warrens, WI 54666
Phone (608) 372-2181

Interoperability endpoints

  • Direct secure messaging: hhaun852276@direct.emplifyhealth.org

Organizations & group practices 7

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 1

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1811297385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 HEWETT ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561128",
            "telephone_number": "608-343-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 HEWETT ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561128",
            "telephone_number": "608-343-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "153308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7809-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

Verify at the official NPI Registry.