Individual provider Active NPI

Cody Haas, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1902462039
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
58483 Issued in ID
Practice address
1047 S Wells St Ste 106
Meridian, ID 83642-7997
Phone
(208) 297-3428
Fax
(208) 297-3978
NPI assigned
May 14, 2019
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202201741NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 58483 ID Primary

Addresses

Primary practice location

1047 S Wells St Ste 106
Meridian, ID 83642-7997

Mailing address

1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 297-3428

Other practice location 1

3425 13th St
Baker City, OR 97814-1340
Phone (541) 523-7400

Other identifiers 2

IdentifierTypeStateIssuer
500808652MedicaidOR
1902462039MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chaas@myevermindhealth.com Direct Haas Associates LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191204002831 ID Practitioner - Nurse Practitioner 8527490549 Reassigns benefits to 1 organization
I20220413000445 OR Practitioner - Nurse Practitioner 8527490549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haas Associates, LLCGroup PAC ID 4880080100, 15 clinicians

Practice addresses (Care Compare)

1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 297-3428

368 Parks Loop
Redmond, OR 97756-7139
Phone (208) 297-3428

9327 W Cory LN
Boise, ID 83704-6808
Phone (208) 297-3428

999 W Main St
Suite 100
Boise, ID 83702-9001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Northwest, Inc Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
Haas Associates, LLC Single Specialty CurrentSince Feb 7, 2022 Accepting new patients
Haas Associates, LLC Single Specialty Past Accepting new patients
D&G Medical Associates PLLC Single Specialty Past Accepting new patients
Haas Associates, LLC Single Specialty Past Accepting new patients
Haas Associates, LLC Single Specialty Past Accepting new patients

Locations

9327 W Cory Ln
Boise, ID 83704
Phone (208) 376-1300

999 W Main St
Ste 100
Boise, ID 83702
Phone (877) 707-1184

1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351

1047 S Wells St
Ste 106
Meridian, ID 83642
Phone (208) 971-3920

3570 E Amity Rd
Meridian, ID 83642
Phone (208) 888-7030

715 W Comstock Ave
Nampa, ID 83651
Phone (208) 463-1732

3680 Midway Dr
Baker City, OR 97814
Phone (541) 523-4049

1690 Arcata Way
Ontario, OR 97914
Phone (541) 527-9414

281 Sunset Dr
Ontario, OR 97914
Phone (541) 527-9414

Interoperability endpoints

  • Direct secure messaging: chaas@myevermindhealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBGBD

Organizations & group practices 6

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.

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1902462039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 S WELLS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427997",
            "telephone_number": "208-297-3428",
            "fax_number": "208-297-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 S WELLS ST STE 106",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427997",
            "telephone_number": "208-297-3428",
            "fax_number": "208-297-3978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 13th St",
            "address_purpose": "LOCATION",
            "city": "Baker City",
            "state": "OR",
            "postal_code": "978141340",
            "country_code": "US",
            "telephone_number": "541-523-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "CODY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202201741NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "58483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500808652",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902462039",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaas@myevermindhealth.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Haas Associates LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1047 S Wells St Ste 106",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836427997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.