KATHLEEN A HAAS PNP
NPI 1548343668
Nurse Practitioner - Pediatrics in Santa Rosa, CA
About Kathleen A Haas Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN A HAAS PNP (NPI 1548343668) is an individual pediatrics provider in Santa Rosa, California, licensed in California (493456) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen A Haas Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Haas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
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 Kathleen Haas's NPI number?
The NPI number for Kathleen Haas is 1548343668. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Kathleen Haas located?
Kathleen Haas practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 566-5326.
What is Kathleen Haas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kathleen Haas enrolled in Medicare?
Yes. Kathleen Haas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Haas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Haas reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Kathleen 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 Kathleen Haas was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kathleen A Haas, PNP · NPI 1548343668
Pediatrics physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1548343668 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 493456 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3925 OLD REDWOOD HWY, Santa Rosa, CA 95403-1719
- **Phone:** (707) 566-5326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548343668) · Data from the CMS NPPES public registry.