CALLY F GORDON-HAESSLY PA-C
NPI 1831754381
Physician Assistant in Weston, WI

Active since May 09, 2019PECOS Enrolled
100/100
CMS Quality Rating
3400 MINISTRY PKWY, WESTON, WI 54476(715) 393-2950 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 11, 2025, Feb 14, 2020, May 9, 2019 (3 updates tracked since 2019).

About Cally F Gordon-haessly Pa-c NPPES

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

CALLY F GORDON-HAESSLY PA-C (NPI 1831754381) is an individual physician assistant in Weston, Wisconsin and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waupaca.

NPPES Registry Identity

NPI1831754381
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCALLY F GORDON-HAESSLYCredential: PA-C
Location Address3400 MINISTRY PKWYWeston, WI 54476-5220
Mailing Address3400 Ministry PkwyWeston, WI 54476-5220 · (715) 393-2950
Sole ProprietorNo
Enumeration DateMay 9, 2019
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1831754381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3400 MINISTRY PKWY, Weston, WI 54476

Secondary Practice Location 1

Location 1800 Riverside DrWaupaca, WI 54981-1943 · Phone (715) 258-1000 · Fax (715) 258-1632

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cally F Gordon-haessly Pa-c 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services75 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
3400 MINISTRY PKWY
WESTON, WI 54476
Internal Medicine
3400 MINISTRY PKWY
WESTON, WI 54476
Emergency Medicine
3400 MINISTRY PKWY
WESTON, WI 54476
Nurse Practitioner
3400 MINISTRY PKWY
WESTON, WI 54476
Orthopaedic Surgery
3400 MINISTRY PKWY
WESTON, WI 54476
Nurse Anesthetist, Certified Registered
3400 MINISTRY PKWY
WESTON, WI 54476
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3400 MINISTRY PKWY
WESTON, WI 54476
Internal Medicine (Pulmonary Disease)
3400 MINISTRY PKWY
WESTON, WI 54476

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 Cally Gordon-haessly's NPI number?

The NPI number for Cally Gordon-haessly is 1831754381. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Cally Gordon-haessly located?

Cally Gordon-haessly practices at 3400 Ministry Pkwy, Weston, WI 54476. The listed phone number is (715) 393-2950.

What is Cally Gordon-haessly's specialty?

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

Is Cally Gordon-haessly enrolled in Medicare?

Yes. Cally Gordon-haessly is registered in the Medicare PECOS enrollment system.

What insurance does Cally Gordon-haessly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and Sanford Health Plan list Cally Gordon-haessly 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 Cally Gordon-haessly was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.