Individual provider Active NPI

Hailey Sam Eisner, D.O.

  • Urology Physician
  • Ventura, CA
National Provider Identifier
1154771285
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21344 Issued in CA
Practice address
300 Hillmont Ave Ste 401
Ventura, CA 93003-1651
Phone
(805) 652-6201
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101022630 MI
Urology Physician 208800000X 21344 CA Primary

Addresses

Primary practice location

300 Hillmont Ave Ste 401
Ventura, CA 93003-1651

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8864

Other practice location 1

3601 W 13 Mile Rd Ste 2
Royal Oak, MI 48073-6712
Phone (248) 898-0898

Other practice location 2

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8864

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hailey.eisner@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513003744 CA Practitioner - Urology 6800188590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Texas HSC, College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
21344CAMDPharmacy Technician
5101022630MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Feb 24, 2024 Accepting new patients
County of Ventura CurrentSince Feb 24, 2024 Accepting new patients
County of Ventura Current Accepting new patients

Locations

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Ste 401
Ventura, CA 93003
Phone (805) 648-9830

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: hailey.eisner@ventura.cernerdirect.com

Organizations & group practices 3

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 11

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1154771285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-493-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 401",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-0898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Harrington St",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432920",
            "country_code": "US",
            "telephone_number": "586-493-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISNER",
        "first_name": "HAILEY",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101022630",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hailey.eisner@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave Ste 401",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.