Stacey Haveman, PHYSICIAN ASSISTANT
NPI 1023309796 · Medical Physician Assistant · Walla Walla, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Haveman, PHYSICIAN ASSISTANT is a Medical Physician Assistant provider in Walla Walla, WA (NPI 1023309796).
Provider details
- NPI number
- 1023309796
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- PA60389054 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-28
- Last updated
- 2016-01-18
Frequently asked questions
- What is Stacey Haveman's NPI number?
- Stacey Haveman's National Provider Identifier (NPI) is 1023309796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Haveman's specialty?
- Stacey Haveman is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacey Haveman located?
- Stacey Haveman's practice location on file with NPPES is 55 W Tietan St, Walla Walla, WA 99362-4445.
- What is Stacey Haveman's phone number?
- The practice phone number listed in the NPPES registry for Stacey Haveman is (509) 525-3720.
- Does Stacey Haveman accept Medicare?
- Stacey Haveman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Haveman's NPI active?
- Yes — Stacey Haveman's NPI (1023309796) is active in the NPPES registry as of the last update on 2016-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.