Individual provider Active NPI

Haley Himmelhaver, FNP-C

  • Family Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1043062458
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015212A Issued in IN
Practice address
9690 E 116TH St
Fishers, IN 46037-2838
Phone
(317) 214-5750
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 71015212A IN Primary

Addresses

Primary practice location

9690 E 116TH St
Fishers, IN 46037-2838

Mailing address

11019 Jordan Rd
Carmel, IN 46032-4073
Phone (317) 417-5921

Other practice location 1

10830 N Michigan Rd
Zionsville, IN 46077-8167
Phone (317) 764-5050

Other practice location 2

14585 Hazel Dell Pkwy
Carmel, IN 46033-9401
Phone (317) 214-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715002391 IN Practitioner - Nurse Practitioner 7113462128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

14585 Hazel Dell Pkwy
Carmel, IN 46033-9401
Phone (317) 214-5030

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital Family CurrentSince Jul 28, 2024 Accepting new patients
Riverview Hospital CurrentSince Jul 28, 2024 Accepting new patients

Locations

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

14585 Hazel Dell Pkwy
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1043062458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 JORDAN RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324073",
            "telephone_number": "317-417-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460372838",
            "telephone_number": "317-214-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10830 N Michigan Rd",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460778167",
            "country_code": "US",
            "telephone_number": "317-764-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14585 Hazel Dell Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460339401",
            "country_code": "US",
            "telephone_number": "317-214-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMMELHAVER",
        "first_name": "HALEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.