Individual provider Active NPI

Haley Baran

  • Physician Assistant
  • Sunrise, FL
National Provider Identifier
1255882155
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058648 Issued in PA
Practice address
7211 NW 20TH St
Sunrise, FL 33313-3858
Phone
(570) 751-9100
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 MA058648 PA Primary

Addresses

Primary practice location

7211 NW 20TH St
Sunrise, FL 33313-3858

Mailing address

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-2340

Other practice location 1

50 Moisey Dr Ste 214
Hazle Township, PA 18202-9297
Phone (570) 501-6900

Other practice location 2

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20161129001816 PA Practitioner - Physician Assistant 7517247042 Reassigns benefits to 1 organization
I20201217000053 FL Practitioner - Physician Assistant 7517247042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (561) 997-0821

Hospital & facility affiliations

  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058648PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Sep 18, 2017 Accepting new patients
Geisinger Clinic CurrentSince Sep 18, 2017 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 5

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 1

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1255882155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 NW 20TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333133858",
            "telephone_number": "570-751-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Moisey Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Hazle Township",
            "state": "PA",
            "postal_code": "182029297",
            "country_code": "US",
            "telephone_number": "570-501-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAN",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.