LYDIA JEAN HAKER
NPI 1245759190
Psychologist - Clinical in De Pere, WI

Q: What is Lydia Haker's NPI number?

The NPI number for Lydia Haker is 1245759190. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Q: What is Lydia Haker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Haker was last updated on June 12, 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 September 12, 2017PECOS EnrolledAccepts Medicare Assignment

1118 TWILIGHT DR, DE PERE, WI 54115(715) 966-3596 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Jun 12, 2023, Sep 12, 2017 (3 updates tracked since 2017).

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About Lydia Jean Haker NPPES

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

LYDIA JEAN HAKER (NPI 1245759190) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (5213-17) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245759190

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLYDIA JEAN HAKER

Location Address1118 TWILIGHT DRDe Pere, WI 54115-1372

Mailing Address611 Butler StDe Pere, WI 54115-1203

Phone(715) 966-3596

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 12, 2017

Last NPPES UpdateJune 12, 20243 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1245759190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 5213-17

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3537-226 (WI)

1118 TWILIGHT DR, De Pere, WI 54115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, 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 and accepts Medicare assignment

Lydia Jean Haker 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 ID4688027600

PECOS Enrollment IDI20240718003947

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 54115 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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 Lydia Haker's NPI number?

The NPI number for Lydia Haker is 1245759190. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Lydia Haker located?

Lydia Haker practices at 1118 Twilight Dr, De Pere, WI 54115. The listed phone number is (715) 966-3596.

What is Lydia Haker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lydia Haker enrolled in Medicare?

Yes. Lydia Haker 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.

What insurance does Lydia Haker accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners and Medica list Lydia Haker 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 Lydia Haker was last updated on June 12, 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.