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DR. LANCE FAY HASELTINE M.D.
NPI 1093010001
General Practice in Shell Lake, WI

Active since January 22, 2011PECOS Enrolled
24521 POQUETTE LAKE RD, SHELL LAKE, WI 54871(612) 991-4889(715) 569-8698 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, May 5, 2024 (2 updates tracked since 2024).

About Dr. Lance Fay Haseltine M.d. NPPES

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

DR. LANCE FAY HASELTINE M.D. (NPI 1093010001) is an individual general practice provider in Shell Lake, Wisconsin, licensed in Wisconsin (35039-20) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093010001
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. LANCE FAY HASELTINECredential: M.D.
Location Address24521 POQUETTE LAKE RDShell Lake, WI 54871-9240
Mailing Address24521 Poquette Lake RdShell Lake, WI 54871-9240 · (612) 991-4889
Phone(612) 991-4889
Fax(715) 569-8698
Sole ProprietorYes
Enumeration DateJanuary 22, 2011
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1093010001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in WI · 35039-20✔ Licensed in MN · 33541
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
24521 POQUETTE LAKE RD, Shell Lake, WI 54871
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lance Fay Haseltine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Lance Haseltine's NPI number?

The NPI number for Lance Haseltine is 1093010001. It was assigned to this individual provider in the NPPES registry on January 22, 2011.

Where is Lance Haseltine located?

Lance Haseltine practices at 24521 Poquette Lake Rd, Shell Lake, WI 54871. The listed phone number is (612) 991-4889.

What is Lance Haseltine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lance Haseltine enrolled in Medicare?

Yes. Lance Haseltine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lance Haseltine was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.