Individual provider Active NPI

Haley Dawn Kickland, DNP, FNP-BC

  • Family Nurse Practitioner
  • Atlantic, IA
National Provider Identifier
1043461080
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-104483 Issued in IA
Practice address
1101 E 7TH St
Atlantic, IA 50022-1812
Phone
(712) 243-5790
Fax
(712) 243-3975
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-104483 IA Primary

Addresses

Primary practice location

1101 E 7TH St
Atlantic, IA 50022-1812

Mailing address

1101 E 7TH St
Atlantic, IA 50022-1812
Phone (712) 243-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20081215000206 IA Practitioner - Nurse Practitioner 3375605090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Health Center PCGroup PAC ID 9931261641, 2 clinicians

Practice addresses (Care Compare)

1101 E 7TH St
Atlantic, IA 50022-1812
Phone (712) 243-5790

Hospital & facility affiliations

  • Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

Merit-based Incentive Payment System (MIPS)

Final score
67.8 of 100Reported as group
Quality
85.99
Promoting interoperability
96
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-104483IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Health Center, PC Family CurrentSince Nov 4, 2008 Accepting new patients

Locations

1101 E 7th St
Atlantic, IA 50022
Phone (712) 243-5790

Interoperability endpoints

  • Direct secure messaging: haley.kickland@mhcp-ia.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1043461080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221812",
            "telephone_number": "712-243-5790",
            "fax_number": "712-243-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221812",
            "telephone_number": "712-243-5790",
            "fax_number": "712-243-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICKLAND",
        "first_name": "HALEY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-104483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.