MARIA-DOLORES CERQUEIRA HANEFFANT PA
NPI 1063517761
Physician Assistant - Medical in Roseville, CA

Q: What is Maria-dolores Haneffant's NPI number?

The NPI number for Maria-dolores Haneffant is 1063517761. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Maria-dolores Haneffant's specialty?

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

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment

3100 DOUGLAS BLVD, ROSEVILLE, CA 95661(916) 774-8300(916) 773-7145 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Maria-dolores Cerqueira Haneffant Pa NPPES

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

MARIA-DOLORES CERQUEIRA HANEFFANT PA (NPI 1063517761) is an individual medical provider in Roseville, California, licensed in California (PA13226) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1993).

NPPES Registry Identity

NPI1063517761

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARIA-DOLORES CERQUEIRA HANEFFANTCredential: PA

Location Address3100 DOUGLAS BLVDRoseville, CA 95661-3866

Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071

Phone(916) 774-8300

Fax(916) 773-7145

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 1993

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJuly 24, 2015

✔ NPI 1063517761 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 CA · PA13226

3100 DOUGLAS BLVD, Roseville, CA 95661

Open in Google Maps ↗

Other Identifiers 1

OtherPA13226CA · Physician Assist Lic

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

Maria-dolores Cerqueira Haneffant Pa 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 ID5991985194

PECOS Enrollment IDI20110204000568

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

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.

JENINA SEGALE RD

Dietitian, Registered

3100 DOUGLAS BLVD
ROSEVILLE, CA 95661

Placer County (916) 774-8885

ANN MARIE WINTERTON LCSW

Dietitian, Registered

3100 DOUGLAS BLVD, SUITE 204
ROSEVILLE, CA 95661

Placer County (916) 774-8885

RUPINDER TUMBER RD

Dietitian, Registered

3100 DOUGLAS BLVD
ROSEVILLE, CA 95661

Placer County (916) 774-8885

MRS. GINA M WHITELEY I RD, CDE

Dietitian, Registered

3100 DOUGLAS BLVD
ROSEVILLE, CA 95661

Placer County (916) 865-1140

DR. KENNY BAINS M.D.

Family Medicine

3100 DOUGLAS BLVD
ROSEVILLE, CA 95661

Placer County (916) 774-8300

PATRICIA MARIE DIXSON FNP

Nurse Practitioner (Family)

3100 DOUGLAS BLVD, SUITE 325
ROSEVILLE, CA 95661

Placer County (916) 241-9844

DR. ROGER ANG M.D.

Family Medicine

3100 DOUGLAS BLVD
ROSEVILLE, CA 95661

Placer County (916) 774-8300

CRISTIN MATER

Registered Nurse (Diabetes Educator)

3100 DOUGLAS BLVD
ROSEVILLE, CA 95661

Placer County (916) 774-8885

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 Maria-dolores Haneffant's NPI number?

The NPI number for Maria-dolores Haneffant is 1063517761. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Maria-dolores Haneffant located?

Maria-dolores Haneffant practices at 3100 Douglas Blvd, Roseville, CA 95661. The listed phone number is (916) 774-8300.

What is Maria-dolores Haneffant's specialty?

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

Is Maria-dolores Haneffant enrolled in Medicare?

Yes. Maria-dolores Haneffant 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.

When was this NPI record last updated?

The NPPES record for Maria-dolores Haneffant was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.