JODY MEREDITH HAAS (NP) – Family Nurse Practitioner, NPI 1063274132

JODY MEREDITH HAAS (NP) is a healthcare provider. based in Medford, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 10021175 (OR). The NPI Number for JODY MEREDITH HAAS (NP) is 1063274132

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JODY MEREDITH HAAS (NP)
NPI
1063274132
Phone
(541) 646-3505
Address
3524 HEATHROW WAY
Enumeration Date
25 January 2024
Last Update Date
25 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416463505
Graduation Year
2023 (3 years ago)
PAC ID
8527405265
Group Practice PAC ID
1850374240
Professional Enrollment ID
I20240318002073
Address ID
OR975044004ME3524XWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for JODY MEREDITH HAAS (NP)

  • 3524 HEATHROW WAY

    MEDFORD, OR 975044004

    Phone: (541) 646-3505

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,418.

Total Amount is formed as General ($1,418) + Research ($0) + Ownership ($0) = $1,418.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($253).

Total Amount

$1,418

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,418

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-03-18

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
I20240318002073INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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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: 1850374240View full group profile
NameSpecialtyState
Physician AssistantNV
-OR
Nurse PractitionerOR
Nurse PractitionerOR
Family PracticeLA
-OR
Internal MedicineOR
Nurse PractitionerOR
Physician AssistantOR
Family PracticeOR

Reviews

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Frequently asked questions

What federal number belongs to JODY MEREDITH HAAS (NP)?
The federal identifier for JODY MEREDITH HAAS (NP) is NPI 1063274132.
Is JODY MEREDITH HAAS (NP) active in the national directory?
JODY MEREDITH HAAS (NP)'s public NPI profile is in an active state.
Does JODY MEREDITH HAAS (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JODY MEREDITH HAAS (NP). Clinical services aligned with this taxonomy classification.
Does JODY MEREDITH HAAS (NP) practice in Oregon?
You will see Medford, Oregon on file for JODY MEREDITH HAAS (NP) alongside any extra practice locations.
Is JODY MEREDITH HAAS (NP) a real provider?
This page reflects official NPPES data for NPI 1063274132. Always confirm identity and privileges with the practice and licensing boards.

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