MRS. ELIZABETH OAKLEY HAAK (PA-C) – Physician Assistant, NPI 1508464686

MRS. ELIZABETH OAKLEY HAAK (PA-C) is a healthcare provider. based in Prague, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3213 (OK). The NPI Number for MRS. ELIZABETH OAKLEY HAAK (PA-C) is 1508464686

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELIZABETH OAKLEY HAAK (PA-C)
NPI
1508464686
Phone
(405) 567-4922
Address
1322 KLABZUBA AVE
Enumeration Date
12 October 2020
Last Update Date
12 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059381389
Graduation Year
2020 (6 years ago)
PAC ID
3678982618
Group Practice PAC ID
9830447036
Professional Enrollment ID
I20210504002100
Address ID
OK730345723ED228XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for MRS. ELIZABETH OAKLEY HAAK (PA-C)

  • 1322 KLABZUBA AVE

    PRAGUE, OK 748644900

    Phone: (405) 567-4922

    Type: Mailing

  • 2301 NW 120th St

    Oklahoma City, OK 731207409

    Phone: (405) 315-7815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-05-04

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
I20210504002100IPhysician AssistantOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes199180$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)159151$0
99203New patient office or other outpatient visit, 30-44 minutes147147$0
87804Detection test by immunoassay with direct visual observation for influenza virus11960$0
99214Established patient office or other outpatient visit, 30-39 minutes10295$0
View full utilization report →

Insurance plans in this area (ZIP 74864)

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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: 9830447036View full group profile
NameSpecialtyState
Family PracticeOK
Family PracticeOK
-OK
Family PracticeAR
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeTX
Nurse PractitionerOR
Emergency MedicineOK

Reviews

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Frequently asked questions

What number should I use to identify MRS. ELIZABETH OAKLEY HAAK (PA-C) for billing?
Administrative and clinical systems typically use NPI 1508464686 for MRS. ELIZABETH OAKLEY HAAK (PA-C).
Should I treat MRS. ELIZABETH OAKLEY HAAK (PA-C) as an active provider?
Patients and plans typically see MRS. ELIZABETH OAKLEY HAAK (PA-C) as active in the national extract.
What type of care does MRS. ELIZABETH OAKLEY HAAK (PA-C) provide?
MRS. ELIZABETH OAKLEY HAAK (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. ELIZABETH OAKLEY HAAK (PA-C)?
MRS. ELIZABETH OAKLEY HAAK (PA-C) shows a connection to Prague, Oklahoma in registry-derived data.
Can I export MRS. ELIZABETH OAKLEY HAAK (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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