Individual provider Active NPI

Hailey Marie Nervino, ARNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1073111902
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP61103113 Issued in WA
Practice address
105 W 8TH Ave Ste 6020
Spokane, WA 99204-2319
Phone
(509) 455-5050
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61103113 WA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP61103113 WA
Women's Health Nurse Practitioner 363LW0102X AP61103113 WA Primary

Addresses

Primary practice location

105 W 8TH Ave Ste 6020
Spokane, WA 99204-2319

Mailing address

105 W 8TH Ave Ste 6020
Spokane, WA 99204-2319
Phone (509) 455-5050

Other practice location 1

1505 Westlake Ave N Ste 400
Seattle, WA 98109-6211
Phone (206) 301-5000

Other practice location 2

3055 112th Ave NE Ste 201
Bellevue, WA 98004-2091
Phone (206) 301-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bellevue

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230524002490 WA Practitioner - Nurse Practitioner 2769848357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Obstetrics and Gynecology PLLCGroup PAC ID 4981145364, 5 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 6020
Spokane, WA 99204-2319
Phone 5094555050126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61103113WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Reproductive Medicine PastSince Oct 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hailey.baker@335000925634564.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFIAA/Endpoint/IFFIAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1073111902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6020",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042319",
            "telephone_number": "509-455-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6020",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042319",
            "telephone_number": "509-455-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Westlake Ave N Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981096211",
            "country_code": "US",
            "telephone_number": "206-301-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 112th Ave NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980042091",
            "country_code": "US",
            "telephone_number": "206-301-5000",
            "fax_number": "206-301-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NERVINO",
        "first_name": "HAILEY",
        "middle_name": "MARIE",
        "credential": "ARNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61103113",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP61103113",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP61103113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bellevue",
            "affiliation": "N",
            "address_1": "3055 112th Ave NE Ste 201",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980042091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.