LYDIA JEAN HAKER
NPI 1245759190
Psychologist - Clinical in De Pere, WI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lydia Haker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Lydia Haker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Haker reassigns Medicare benefits to County Of Door-Door County Library (Sturgeon Bay, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Haker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lydia Haker accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners 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.
# Lydia Jean Haker · NPI 1245759190
Clinical provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since September 12, 2017.
## Identity
- **NPI:** 1245759190 (Entity type: Individual)
- **Enumerated:** September 12, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 5213-17 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1118 TWILIGHT DR, De Pere, WI 54115-1372
- **Phone:** (715) 966-3596
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Door-Door County Library (NPI 1245265693, Sturgeon Bay, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245759190) · Data from the CMS NPPES public registry.