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
Sex
Female
Sole proprietor
Yes

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 LLC 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

  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220331000435 CO Practitioner - Physician Assistant 3476941881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician 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) 240-4500

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

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2022.

{
    "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.