1. Home
  2. Directory
  3. Florida
  4. Winter Park
  5. Nurse Practitioner
  6. NPI Profile

KEELEY HAAS NP
NPI 1376871764
Nurse Practitioner - Family in Winter Park, FL

Active since November 24, 2009PECOS Enrolled
807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 32789(407) 515-2211(407) 309-5412 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keeley Haas Np NPPES

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

KEELEY HAAS NP (NPI 1376871764) is an individual family provider in Winter Park, Florida, licensed in Florida (9217704) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376871764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEELEY HAASCredential: NP
Location Address807 S ORLANDO AVE, SUITE CWinter Park, FL 32789-4870
Mailing Address807 S Orlando Ave, Suite CWinter Park, FL 32789-4870 · (407) 515-2211 · Fax (407) 309-5412
Phone(407) 515-2211
Fax(407) 309-5412
Sole ProprietorNo
Enumeration DateNovember 24, 2009
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1376871764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9217704
807 S ORLANDO AVE, Winter Park, FL 32789
Open in Google Maps ↗

Other Identifiers 2

Medicaid009189100FL
Medicare UPINHO186ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keeley Haas Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Keeley Haas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
207 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 32789 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAFAR MAHMOOD M.D.
Internal Medicine (Nephrology)
807 S ORLANDO AVE, SUITE C
WINTER PARK, FL 32789
Orange County (407) 894-4693
MRS. SHARON LEIGH KEY ARNP
Nurse Practitioner
807 S ORLANDO AVE, SUITE C
WINTER PARK, FL 32789
Orange County (407) 894-4693
TONYA MARIE DREW ARNP
Nurse Practitioner
807 S ORLANDO AVE, SUITE C
WINTER PARK, FL 32789
Orange County (407) 515-2211
MRS. AMMA SEWAAH BONSU ARNP
Nurse Practitioner
807 S ORLANDO AVE, SUITE C
WINTER PARK, FL 32789
Orange County (407) 515-2211

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 Keeley Haas's NPI number?

The NPI number for Keeley Haas is 1376871764. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Where is Keeley Haas located?

Keeley Haas practices at 807 S Orlando Ave Suite C, Winter Park, FL 32789. The listed phone number is (407) 515-2211.

What is Keeley Haas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keeley Haas enrolled in Medicare?

Yes. Keeley Haas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keeley Haas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keeley Haas reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Keeley Haas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keeley Haas was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.