ANN M HAACK (PA) – Physician Assistant, NPI 1629037130

ANN M HAACK (PA) is a healthcare provider. based in Casper, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 354 (WY). The NPI Number for ANN M HAACK (PA) is 1629037130

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANN M HAACK (PA)
NPI
1629037130
Phone
(307) 265-7205
Address
4140 CENTENNIAL HILLS BLVD
Enumeration Date
22 March 2006
Last Update Date
3 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
8527085851
Group Practice PAC ID
9436148624
Professional Enrollment ID
I20051026000928
Address ID
WY826093265CA4140XAXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

323 PHYSICIAN ASSISTANT in WY

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Provider Addresses for ANN M HAACK (PA)

  • 4140, Centennial Hills Boulevard, Casper, Natrona County, Wyoming, 82609, United States

    STE A

    CASPER, WY 826093265

    Phone: (307) 265-7205

    Fax: (307) 235-6262

    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)

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: 2005-10-26

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
I20051026000928IPhysician AssistantWYTBD

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
J3111Injection, romosozumab-aqqg, 1 mg32,55032$0
J0897Injection, denosumab, 1 mg13,620144$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg1,12551$0
96372Injection of drug or substance under skin or into muscle384166$0
99213Established patient office or other outpatient visit, 20-29 minutes229198$0
View full utilization report →

Insurance plans in this area (ZIP 82609)

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Provider's Procedures

ANN M HAACK (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWY20610Aspiration and/or injection of large joint or joint capsule5142
PHYSICIAN ASSISTANTWY27447Repair of knee joint2726
PHYSICIAN ASSISTANTWY73562X-ray of knee, 3 views2317

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: 9436148624View full group profile
NameSpecialtyState
Orthopedic SurgeryAZ
-SC
Orthopedic SurgeryWY
Occupational Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

Is there an official ID for ANN M HAACK (PA) in U.S. healthcare records?
The official identifier for ANN M HAACK (PA) is NPI 1629037130.
Is ANN M HAACK (PA) still an active registrant?
ANN M HAACK (PA) carries an active NPI according to the public dataset.
What kind of doctor is ANN M HAACK (PA)?
ANN M HAACK (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is ANN M HAACK (PA) located near Casper?
ANN M HAACK (PA) currently maps to Casper, Wyoming in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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