Individual provider Active NPI

Hauna Rene Payne, PA

  • Physician Assistant
  • Montrose, CO
National Provider Identifier
1972126456
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006466 Issued in CO
Practice address
1550 East Niagara Rd
Montrose, CO 81401-5027
Phone
(970) 497-4921
Fax
(855) 855-4482
NPI assigned
May 19, 2020
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA.0006466 CO Primary

Addresses

Primary practice location

1550 East Niagara Rd
Montrose, CO 81401-5027

Mailing address

1550 E Niagara Rd
Montrose, CO 81401-5027
Phone (970) 497-4921

Other practice location 1

1198 N Main St.
Unit C
Gunnison, CO 81230-2430
Phone (970) 497-4921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220331000435 CO Practitioner - Physician Assistant 3476941881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peak Family Medicine LLCGroup PAC ID 9931411048, 15 clinicians

Practice addresses (Care Compare)

1550 E Niagara Rd
Montrose, CO 81401-5027
Phone (970) 497-4921

630 E Star CT
Montrose, CO 81401-6702
Phone (970) 249-2291

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006466COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Family Medicine LLC CurrentSince Apr 1, 2022 Accepting new patients
Peak Family Medicine, PA Physician Assistant Past Accepting new patients

Locations

1550 Niagara Rd
Montrose, CO 81401
Phone (970) 497-4921

630 East Star Ct
Montrose, CO 81401
Phone (970) 240-0378

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, 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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1972126456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E NIAGARA RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015027",
            "telephone_number": "970-497-4921",
            "fax_number": "855-855-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 EAST NIAGARA RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015027",
            "telephone_number": "970-497-4921",
            "fax_number": "855-855-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 N Main St.",
            "address_2": "Unit C",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302430",
            "country_code": "US",
            "telephone_number": "970-497-4921",
            "fax_number": "855-855-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "HAUNA",
        "middle_name": "RENE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.