CALLIE J HAERTLE
NPI 1871394429
Physician Assistant in Lafayette, IN

Q: What is Callie Haertle's NPI number?

The NPI number for Callie Haertle is 1871394429. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Q: What is Callie Haertle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Callie Haertle was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 20, 2025PECOS Enrolled

1701 S CREASY LN, LAFAYETTE, IN 47905(765) 502-4000 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 2, 2025, Mar 20, 2025 (2 updates tracked since 2025).

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About Callie J Haertle NPPES

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

CALLIE J HAERTLE (NPI 1871394429) is an individual physician assistant in Lafayette, Indiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and maintains a secondary practice location in Crawfordsville.

NPPES Registry Identity

NPI1871394429

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCALLIE J HAERTLE

Location Address1701 S CREASY LNLafayette, IN 47905-4972

Mailing Address530 Massachusetts Ave Apt 302Indianapolis, IN 46204-2331 · (262) 468-5421

Phone(765) 502-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 20, 2025

Last NPPES UpdateJune 2, 20252 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1871394429 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.

1701 S CREASY LN, Lafayette, IN 47905

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Secondary Practice Location 1

Location 11710 Lafayette RdCrawfordsville, IN 47933-1033 · Phone (765) 362-2800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie J Haertle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305346339

PECOS Enrollment IDI20250825001171

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

CAITLIN SMEDEMA OTR/L

Occupational Therapist