KEVAN J. HAACK PA-C
NPI 1083061501
Physician Assistant - Surgical in Seattle, WA

Q: What is Kevan Haack's NPI number?

The NPI number for Kevan Haack is 1083061501. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Q: What is Kevan Haack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kevan Haack was last updated on July 26, 2024. 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.

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment

601 BROADWAY FL 7, SEATTLE, WA 98122(206) 386-2600(206) 622-1644 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, May 16, 2016 (2 updates tracked since 2016).

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About Kevan J. Haack Pa-c NPPES

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

KEVAN J. HAACK PA-C (NPI 1083061501) is an individual surgical provider in Seattle, Washington, licensed in Washington (PA60815264) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1083061501

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKEVAN J. HAACKCredential: PA-C

Location Address601 BROADWAY FL 7Seattle, WA 98122-5330

Mailing Address601 Broadway Fl 7Seattle, WA 98122-5330 · (206) 386-2600 · Fax (206) 622-1644

Phone(206) 386-2600

Fax(206) 622-1644

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 16, 2016

Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1083061501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA60815264

601 BROADWAY FL 7, Seattle, WA 98122

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Secondary Practice Location 1

Location 14455 148th Ave NE # B1Bellevue, WA 98007-3120 · Phone (206) 386-2600 · Fax (206) 622-1644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kevan J. Haack 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 ID3274893912

PECOS Enrollment IDI20180129000924

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

1,008 services17 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

57 services55 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

35 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services29 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

MRS. KATHERINE E. R. HAZZARD PA-C

Physician Assistant (Surgical)