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KATELYN HAKER PA
NPI 1487030623
Physician Assistant in Latham, NY

Active since August 10, 2015PECOS Enrolled
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2024, Mar 31, 2023, Feb 27, 2018 (3 updates tracked since 2018).

About Katelyn Haker Pa NPPES

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

KATELYN HAKER PA (NPI 1487030623) is an individual physician assistant in Latham, New York, licensed in New York (018923) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487030623
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN HAKERCredential: PA
Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074
Mailing Address13 Cornell Rd Ste 2Latham, NY 12110-1425 · (518) 348-3176
Phone(518) 348-3176
Sole ProprietorYes
Enumeration DateAugust 10, 2015
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1487030623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 018923
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.
1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Haker Pa 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 12110 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

LAUREN M CABANA PA
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
MARA J BUCHANAN P.A.
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
CLEMENTINE MILLER ADULT NP
Nurse Practitioner (Adult Health)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
MARISA DAGOSTINO PA
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
FRANCINE RAINONE DO
Family Medicine
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
JESSICA DWYER PA-C
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
MAEGAN FUCCI FNP
Nurse Practitioner (Family)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
NICOLA RIVERS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176

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 Katelyn Haker's NPI number?

The NPI number for Katelyn Haker is 1487030623. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Katelyn Haker located?

Katelyn Haker practices at 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110. The listed phone number is (518) 348-3176.

What is Katelyn Haker's specialty?

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

Is Katelyn Haker enrolled in Medicare?

Yes. Katelyn Haker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Haker was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.