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TAMMIE J HAVEMAN
NPI 1144451139
Physician Assistant in Hudson, WI

Active since August 07, 2009PECOS Enrolled
405 STAGELINE RD, HUDSON, WI 54016(715) 531-6000 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tammie J Haveman NPPES

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

TAMMIE J HAVEMAN (NPI 1144451139) is an individual physician assistant in Hudson, Wisconsin, licensed in Minnesota (1306) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144451139
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMMIE J HAVEMAN
Location Address405 STAGELINE RDHudson, WI 54016-7848
Mailing Address6025 Lake Rd, Suite 200Woodbury, MN 55125-1712 · (651) 999-6800 · Fax (651) 999-6830
Phone(715) 531-6000
Sole ProprietorNo
Enumeration DateAugust 7, 2009
Last NPPES UpdateMay 13, 2019
✔ NPI 1144451139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 1306
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2819-23 (WI)
405 STAGELINE RD, Hudson, WI 54016
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Other Names 1

Former Name (1)Tammie J Ray

Secondary Practice Locations 2

Location 1927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330
Location 26025 Lake Rd, Suite 200Woodbury, MN 55125-1712 · Phone (651) 999-6800 · Fax (651) 999-6830

Other Identifiers 1

MedicaidPENDINGMN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammie J Haveman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HEATHER KALUZNIAK MD
Emergency Medicine
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6000
DR. FRANK T. PILNEY M.D.
Surgery (Plastic and Reconstructive Surgery)
405 STAGELINE RD, HUDSON HOSPITAL & CLINICS
HUDSON, WI 54016
St. Croix County (651) 645-3966
MARY ELLEN AKAN PT
Physical Therapist
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6400
HEATHER MAY SIMMEL MOTR/L, CLT
Occupational Therapist
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6321
JEFFREY L REICHEL CRNA
Nurse Anesthetist, Certified Registered
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6625
DR. BRIAN J PETERSON D.O.
Emergency Medicine
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6000
LISA LOGGHE DPT
Physical Therapist
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6700
HUDSON HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6000

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 Tammie Haveman's NPI number?

The NPI number for Tammie Haveman is 1144451139. It was assigned to this individual provider in the NPPES registry on August 7, 2009. The provider is also known as Tammie J Ray.

Where is Tammie Haveman located?

Tammie Haveman practices at 405 Stageline Rd, Hudson, WI 54016. The listed phone number is (715) 531-6000.

What is Tammie Haveman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tammie Haveman enrolled in Medicare?

Yes. Tammie Haveman is registered in the Medicare PECOS enrollment system.

What insurance does Tammie Haveman accept?

Health plans from Medica list Tammie Haveman 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.

When was this NPI record last updated?

The NPPES record for Tammie Haveman was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.