Individual provider Active NPI

Wendi Suzanne Haller, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1184026205
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008954 Issued in KY
Practice address
4003 Kresge Way
Suite 312
Louisville, KY 40207-4652
Phone
(502) 899-7377
Fax
(502) 899-1972
NPI assigned
Sep 19, 2014
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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 3008954 KY Primary

Addresses

Primary practice location

4003 Kresge Way
Suite 312
Louisville, KY 40207-4652

Mailing address

4003 Kresge Way
Suite 312
Louisville, KY 40207-4652
Phone (502) 899-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150707000096 KY Practitioner - Nurse Practitioner 8628380581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Have a Heart Foundation IncGroup PAC ID 9931443488, 3 clinicians

Practice addresses (Care Compare)

310 E Broadway
Suite 100
Louisville, KY 40202-1745
Phone (502) 245-0002

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
87.12
Promoting interoperability
99
Improvement activities
40
Cost
73.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Pulmonary Care PLLC CurrentSince May 27, 2015 Accepting new patients
Have a Heart Foundation Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324

1425 W Broadway
Louisville, KY 40203
Phone (502) 245-0002

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401

310 E Broadway
Louisville, KY 40202
Phone (502) 583-1331

310 E Broadway
Ste 100
Louisville, KY 40202
Phone (502) 245-0002

4003 Kresge Way
Ste 312
Louisville, KY 40207
Phone (502) 313-6500

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10033054
  • Direct secure messaging: wendi.haller.1@14406.direct.athenahealth.com
  • Direct secure messaging: wendihaller@lpcpllc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1184026205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "SUITE 312",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-899-7377",
            "fax_number": "502-899-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "SUITE 312",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-899-7377",
            "fax_number": "502-899-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "WENDI",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.