Individual provider Active NPI

Madeline Haws, APRN

  • Family Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1912621392
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104044814405 Issued in UT
Practice address
922 W Baxter Dr Ste 110
South Jordan, UT 84095-8626
Phone
(385) 281-9846
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104044814405 UT Primary

Addresses

Primary practice location

922 W Baxter Dr Ste 110
South Jordan, UT 84095-8626

Mailing address

1964 N 860 W
Orem, UT 84057-8606
Phone (801) 368-2031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20221117000686 UT Practitioner - Nurse Practitioner 2769850056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104044814405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Medical Clinic CurrentSince Dec 7, 2025 Accepting new patients
Utah Endocrinology Associates PLLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

470 E 3900 S
Ste 200
Salt Lake Cty, UT 84107
Phone (801) 747-2800

922 W Baxter Dr
Ste 110
South Jordan, UT 84095
Phone (385) 281-9846

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1912621392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 N 860 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840578606",
            "telephone_number": "801-368-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W BAXTER DR STE 110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958626",
            "telephone_number": "385-281-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS",
        "first_name": "MADELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "104044814405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.