Individual provider Active NPI

Hayley Marie Loiselle, PA

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1235909003
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
180 Admiral Cochrane Dr # 410420
Annapolis, MD 21401-7300
Phone
(443) 351-3376
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MD Primary

Addresses

Primary practice location

180 Admiral Cochrane Dr # 410420
Annapolis, MD 21401-7300

Mailing address

1795 Duke of Norfolk Quay
Virginia Beach, VA 23454-1104
Phone (904) 400-1689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240808004783 MD Practitioner - Physician Assistant 1658818513 Reassigns benefits to 1 organization
I20240812003286 DC Practitioner - Physician Assistant 1658818513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

115 Sallitt Dr
Suite E
Stevensville, MD 21666-2156
Phone (443) 351-3376

1185 Imperial Dr
Suite 201
Hagerstown, MD 21740-6673
Phone (443) 351-3376

180 Admiral Cochrane Dr
Annapolis, MD 21401-8405
Phone (410) 263-5439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, PA PastSince Sep 23, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hloiselle@aadermaffiliates.emadirect.md

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1235909003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 DUKE OF NORFOLK QUAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541104",
            "telephone_number": "904-400-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ADMIRAL COCHRANE DR # 410420",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017300",
            "telephone_number": "443-351-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOISELLE",
        "first_name": "HAYLEY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.