Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Marie Haverly, PA-C

Individual provider Physician Assistant · NPI 1215527882

Katherine Marie Haverly, PA-C is a Physician Assistant in Sheldon, Iowa. Qualified in 2020, 6 years ago. Practices with Avera McKennan, a 962-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and South Dakota.

Years since qualifying
6
Licensed in
IA, SD
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

118 N 7th Ave
Sheldon, IA 51201-1235
Phone: (712) 324-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1383 (SD)
Physician Assistant Taxonomy 363A00000X · Licence 107042 (IA)

Record details

NPI number1215527882
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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