1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. STEPHAN HAAQUIST
NPI 1194418202
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since June 02, 2023PECOS Enrolled
100 PINEWILD DR STE 2A, ROCHESTER, NY 14606(585) 368-6700 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Aug 13, 2024, Aug 30, 2023 and 2 more (5 updates tracked since 2023).

About Mr. Stephan Haaquist NPPES

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

MR. STEPHAN HAAQUIST (NPI 1194418202) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (405724) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194418202
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. STEPHAN HAAQUIST
Location Address100 PINEWILD DR STE 2ARochester, NY 14606-4200
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · Fax (585) 922-1011
Phone(585) 368-6700
Sole ProprietorNo
Enumeration DateJune 2, 2023
Last NPPES UpdateJuly 30, 20265 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1194418202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · 405724✔ Licensed in TN · 34381
Also ListedRegistered NurseTaxonomy 163W00000X · License 221782 (TN)
100 PINEWILD DR STE 2A, Rochester, NY 14606
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1224 Alexander St Ste 100Rochester, NY 14607-4000 · Phone (585) 922-7770 · Fax (585) 922-7020
Location 21381 E Ridge Rd Ste 5Rochester, NY 14621-2019 · Phone (585) 922-2500 · Fax (585) 922-2710
Location 3600 Arthur StKnoxville, TN 37921-6405 · Phone (865) 523-8695

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Stephan Haaquist 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 14606 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

CHRISTEN NOEL KELLEY MHC
Counselor (Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
MS. ZULEIKA ORTIZ MHC
Counselor (Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
JACOB DAVID BOURNE-FRAZER
Counselor (Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
SHARIFA PEARLSIA II ALI DANS
Registered Nurse (Psychiatric/Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
MR. ELLIOTT M GOODNESS LMSW
Social Worker (Clinical)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
LISA LEANN DONOFRIO NP
Nurse Practitioner (Psychiatric/Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
JENNA NICOLE ROELLE RN
Registered Nurse (Psychiatric/Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
JAMES BRIAN SMITH L.C.S.W.
Social Worker (Clinical)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700

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 Stephan Haaquist's NPI number?

The NPI number for Stephan Haaquist is 1194418202. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Stephan Haaquist located?

Stephan Haaquist practices at 100 Pinewild Dr Ste 2A, Rochester, NY 14606. The listed phone number is (585) 368-6700.

What is Stephan Haaquist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephan Haaquist enrolled in Medicare?

Yes. Stephan Haaquist is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephan Haaquist was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.