KRISTIN MARIE HAAG (PA-C) – Physician Assistant, NPI 1790267524
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $348 |
| Novartis Pharmaceuticals Corporation | $304 |
| Lilly USA, LLC | $262 |
| ABBVIE INC. | $216 |
| AstraZeneca Pharmaceuticals LP | $149 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181116001847 | I | Physician Assistant | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 105 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 27 | $0 |
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62565)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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