KRISTIN MARIE HAAG (PA-C) – Physician Assistant, NPI 1790267524

KRISTIN MARIE HAAG (PA-C) is a healthcare provider. based in Shelbyville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085.006728 (IL). The NPI Number for KRISTIN MARIE HAAG (PA-C) is 1790267524

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MARIE HAAG (PA-C)
NPI
1790267524
Phone
Not provided
Address
1837 E 1450 NORTH RD
Enumeration Date
29 August 2018
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
6406100056
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20181116001847
Address ID
IL619203197CH2040XAVEX300

Contacts

Secure Messaging
khayden167992@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness95
Years active:7State licenses:1Other names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for KRISTIN MARIE HAAG (PA-C)

  • 1837 E 1450 NORTH RD

    SHELBYVILLE, IL 625654520

    Phone:

    Type: Mailing

  • 207, South Pine Street, Shelbyville, Shelby County, Illinois, 62565, United States

    SHELBYVILLE, IL 625651749

    Phone: (217) 774-4400

    Type: Location

  • 200 S CEDAR ST

    SHELBYVILLE, IL 625651838

    Phone: (217) 774-4400

    Fax: (217) 774-6445

    Type: Location

  • PO BOX 372

    MATTOON, IL 619380372

    Phone:

    Type: Mailing

  • 1215 W MAIN ST

    SHELBYVILLE, IL 625651252

    Phone: (217) 774-4305

    Fax: (217) 774-4306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 150 Open Payments records for all available years, with a total value of $2,592.

Total Amount is formed as General ($2,592) + Research ($0) + Ownership ($0) = $2,592.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novo Nordisk Inc ($348).

Total Amount

$2,592

General + Research + Ownership

Payments

150

Total payment records

General Amount

$2,592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181116001847IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes115105$0
99213Established patient office or other outpatient visit, 20-29 minutes3227$0
G0008Administration of influenza virus vaccine1616$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1212$0
View full utilization report →

Insurance plans in this area (ZIP 62565)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092614867View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the standard ID for KRISTIN MARIE HAAG (PA-C) in the U.S.?
In the U.S., KRISTIN MARIE HAAG (PA-C) is identified by NPI 1790267524.
Is KRISTIN MARIE HAAG (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists KRISTIN MARIE HAAG (PA-C) as active.
How should patients interpret KRISTIN MARIE HAAG (PA-C)'s specialty?
The extract shows Physician Assistant for KRISTIN MARIE HAAG (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTIN MARIE HAAG (PA-C)?
KRISTIN MARIE HAAG (PA-C) shows a connection to Shelbyville, Illinois in registry-derived data.
Who maintains KRISTIN MARIE HAAG (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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