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MRS. AUDREY HAVENS PA-C
NPI 1053885624
Physician Assistant - Medical in Elyria, OH

Active since January 17, 2019PECOS EnrolledAccepts Medicare Assignment
125 E BROAD ST, ELYRIA, OH 44035(440) 406-5500 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Jan 17, 2019 (2 updates tracked since 2019).

About Mrs. Audrey Havens Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AUDREY HAVENS PA-C (NPI 1053885624) is an individual medical provider in Elyria, Ohio, licensed in Ohio (50.005775RX) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1053885624
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. AUDREY HAVENSCredential: PA-C
Location Address125 E BROAD STElyria, OH 44035-6400
Mailing Address3417 W 148th StCleveland, OH 44111-2119 · (330) 241-3202
Phone(440) 406-5500
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2018
Enumeration DateJanuary 17, 2019
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1053885624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50.005775RX
125 E BROAD ST, Elyria, OH 44035
Open in Google Maps ↗

Secondary Practice Location 1

Location 175 Arch St Ste 301Akron, OH 44304-1429 · Phone (330) 253-1800 · Fax (330) 253-1955

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Audrey Havens Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143569913
PECOS Enrollment IDI20190222001838
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
124 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES EDWARD LISI M.D.
Specialist
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 329-5943
DR. MICHAEL MONROE LANGER DO
Internal Medicine (Magnetic Resonance Imaging (MRI))
125 E BROAD ST, SUITE 305
ELYRIA, OH 44035
Lorain County (440) 414-9100
MRS. BRENDA J LIFE CNP
Nurse Practitioner (Adult Health)
125 E BROAD ST, SUITE 305
ELYRIA, OH 44035
Lorain County (440) 326-4120
DR. BASAVARAJAPPA VISWANATH M.D.
Family Medicine
125 E BROAD ST, SUITE #209
ELYRIA, OH 44035
Lorain County (440) 329-7320
OM HEALTHCARE LLC
Clinic/Center (Multi-Specialty)
125 E BROAD ST, STE 215
ELYRIA, OH 44035
Lorain County (440) 329-7305
GOVIND K MEHTA, M.D., INC.
Otolaryngology
125 E BROAD ST, SUITE 322
ELYRIA, OH 44035
Lorain County (440) 329-7345
GOVINDRAM KESHAVLAL MEHTA M.D.
Otolaryngology
125 E BROAD ST, STE 322
ELYRIA, OH 44035
Lorain County (440) 329-7345
DARLA JEAN MOYER APRN, CNP
Nurse Practitioner (Adult Health)
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 329-7397

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Havens's NPI number?

The NPI number for Audrey Havens is 1053885624. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Audrey Havens located?

Audrey Havens practices at 125 E Broad St, Elyria, OH 44035. The listed phone number is (440) 406-5500.

What is Audrey Havens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Audrey Havens enrolled in Medicare?

Yes. Audrey Havens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Audrey Havens accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Audrey Havens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Audrey Havens affiliated with any hospitals?

According to CMS data, Audrey Havens is affiliated with Parma Community General Hospital, Uh St John Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Audrey Havens was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.