Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haydar Hasan, PA-C

Individual provider Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1316699820

Haydar Hasan, PA-C is a Physician Assistant in Avondale, Arizona. Graduated from Creighton University School of Medicine in 2021, 5 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Trained at
Creighton University School of Medicine
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

506 E Western Ave Ste 104
Avondale, AZ 85323-2422
Phone: (602) 230-7373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3033 N Central Ave Ste 700, Phoenix, AZ 85012-2806 — (602) 281-7289

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8993 (AZ)
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X · Licence 8993 (AZ)

Record details

NPI number1316699820
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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