Haley Jo Kloss, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704363173 Issued in MI

Practice address

39393 Van Dyke Ave Ste 101
Sterling Heights, MI 48313-4636

Phone

(313) 403-8787

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Visiting Wound Specialists & Primary Care PLLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1760268940

  Acute Care

  Medicare reassignment NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1154149557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3197 HEYNIG RD",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409318",
            "telephone_number": "231-838-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134636",
            "telephone_number": "313-403-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "HALEY",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704363173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Klever Jr., M.D.
• Mackenzie Morgan Klida
• Kline Medical Supply Inc
• Amanda Nicole Kline
• Elena Marie Kline, PHARMD
• Piotr Kluba, P.T.
• Ashley Klueck, RN
• Carolyn Klunzinger, OD
• Temyla Knight
• Makiyah Mone'T Knighton

• Acute Care Nurse Practitioner in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.