MARY LELA VALENTINE VONDER HAAR PA
NPI 1851800353
Physician Assistant in Oxford, MS

Active since September 27, 2017PECOS EnrolledAccepts Medicare Assignment
2222 JACKSON AVE W, OXFORD, MS 38655(662) 380-5560 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2023, Aug 23, 2018, May 8, 2018 and 1 more (4 updates tracked since 2018).

About Mary Lela Valentine Vonder Haar Pa NPPES

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

MARY LELA VALENTINE VONDER HAAR PA (NPI 1851800353) is an individual physician assistant in Oxford, Mississippi, licensed in Mississippi (PA00685) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851800353
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY LELA VALENTINE VONDER HAARCredential: PA
Location Address2222 JACKSON AVE WOxford, MS 38655-5409
Mailing Address2222 Jackson Ave WOxford, MS 38655-5409 · (662) 380-5560
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 27, 2017
Last NPPES UpdateMay 9, 20234 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1851800353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MS · PA00685 Licensed in TX · PA12044
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.
2222 JACKSON AVE W, Oxford, MS 38655

Other Names 1

Former Name (1)Mary Lela Valentine

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 and accepts Medicare assignment

Mary Lela Valentine Vonder Haar Pa 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.

PECOS PAC ID6901159805
PECOS Enrollment IDI20230530000032
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 38655 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 5

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

Nurse Practitioner (Family)
2222 JACKSON AVE W
OXFORD, MS 38655
Clinic/Center (Rural Health)
2222 JACKSON AVE W
OXFORD, MS 38655
Family Medicine
2222 JACKSON AVE W
OXFORD, MS 38655
Nurse Practitioner (Family)
2222 JACKSON AVE W
OXFORD, MS 38655
Nurse Practitioner (Family)
2222 JACKSON AVE W
OXFORD, MS 38655

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 Mary Lela Vonder Haar's NPI number?

The NPI number for Mary Lela Vonder Haar is 1851800353. It was assigned to this individual provider in the NPPES registry on September 27, 2017. The provider is also known as Mary Lela Valentine.

Where is Mary Lela Vonder Haar located?

Mary Lela Vonder Haar practices at 2222 Jackson Ave W, Oxford, MS 38655. The listed phone number is (662) 380-5560.

What is Mary Lela Vonder Haar's specialty?

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

Is Mary Lela Vonder Haar enrolled in Medicare?

Yes. Mary Lela Vonder Haar 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.

What insurance does Mary Lela Vonder Haar accept?

Health plans from UnitedHealthcare list Mary Lela Vonder Haar 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 Mary Lela Vonder Haar was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.