NPIMap

Individual provider Active NPI

Caylon W. Haggard, PA-C

  • Physician Assistant
  • Ritzville, WA
National Provider Identifier
1902042765
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61041209 Issued in WA
Practice address
903 S Adams St
Ritzville, WA 99169-2227
Phone
(096) 591-2005
Fax
(509) 659-0632
NPI assigned
Dec 29, 2008
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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 PA61041209 WA Primary

Addresses

Primary practice location

903 S Adams St
Ritzville, WA 99169-2227

Mailing address

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1911

Other practice location 1

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1911

Other practice location 2

607 W Main St
Grangeville, ID 83530-1345
Phone (208) 983-1700

Other practice location 3

502 E Amende Dr
Odessa, WA 99159-7003
Phone (509) 982-2611

Other practice location 4

817 Commercial St
Leavenworth, WA 98826-1316
Phone (509) 548-5815

Other practice location 5

315 N 14th Ave
Othello, WA 99344-1297
Phone (509) 488-2636

Other practice location 6

200 Nat Washington Way
Ephrata, WA 98823-1997
Phone (509) 754-4631

Other identifiers 1

IdentifierTypeStateIssuer
2155035MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200630002797 WA Practitioner - Physician Assistant 1153487707 Reassigns benefits to 6 organizations
I20250213001091 ID Practitioner - Physician Assistant 1153487707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Public Hospital District No. 3Group PAC ID 8325937675, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

200 Nat Washington Way
Ephrata, WA 98823-1982

200 Nat Washington Way
Columbia Basin Hospital
Ephrata, WA 98823-1997
Phone (509) 754-4631

220 Nat Washington Way
Ephrata, WA 98823-1982

607 W Main St
Grangeville, ID 83530-1345
Phone (208) 983-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61041209WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Syringa General Hospital District C I F CurrentSince Dec 7, 2024 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Current Accepting new patients
Lincoln County Public Hospital District 1 CurrentSince Sep 1, 2023 Accepting new patients
Grant Co Public Hospital District 3 CurrentSince Aug 1, 2025 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince May 11, 2023 Accepting new patients
Adams County Hospital 2 CurrentSince Sep 8, 2024 Accepting new patients
Grant County Public Hospital District No. 3 CurrentSince Aug 1, 2025 Accepting new patients
Adams County Public Hospital District 3 CurrentSince Dec 9, 2025 Accepting new patients
Adams County Public Hospital District 2 CurrentSince Sep 8, 2024 Accepting new patients
Mercy Hospital El Reno, Inc Emergency Medicine Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Adams County Hospital 2 Past Accepting new patients
Grant County Public Hospital District No. 3 Past Accepting new patients

Locations

607 W Main St
Grangeville, ID 83530
Phone (208) 983-1700

220 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

903 S Adams St
Ritzville, WA 99169
Phone (509) 659-1200

Interoperability endpoints

  • Direct secure messaging: caylon.haggard.p1@direct.ritzville.nextgenshare.com
  • Direct secure messaging: haggarc@cmccares.cernerdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1902042765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1911",
            "fax_number": "509-633-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "096-591-2005",
            "fax_number": "509-659-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Fortuyn Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Coulee",
            "state": "WA",
            "postal_code": "991338718",
            "country_code": "US",
            "telephone_number": "509-633-1911",
            "fax_number": "509-633-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 W Main St",
            "address_purpose": "LOCATION",
            "city": "Grangeville",
            "state": "ID",
            "postal_code": "835301345",
            "country_code": "US",
            "telephone_number": "208-983-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E Amende Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "WA",
            "postal_code": "991597003",
            "country_code": "US",
            "telephone_number": "509-982-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "WA",
            "postal_code": "988261316",
            "country_code": "US",
            "telephone_number": "509-548-5815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Othello",
            "state": "WA",
            "postal_code": "993441297",
            "country_code": "US",
            "telephone_number": "509-488-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Nat Washington Way",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "WA",
            "postal_code": "988231997",
            "country_code": "US",
            "telephone_number": "509-754-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "CAYLON",
        "middle_name": "W.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61041209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155035",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ritzville, WA

Sources for this page

Verify at the official NPI Registry.