Individual provider Active NPI

Haley Ann Gardner

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1265139463
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024306 Issued in FL
Practice address
8486 106TH Ave
Vero Beach, FL 32967-3676
Phone
(407) 493-4494
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 11024306 FL Primary

Addresses

Primary practice location

8486 106TH Ave
Vero Beach, FL 32967-3676

Mailing address

752 S US Highway 1
Vero Beach, FL 32962-4748
Phone (772) 589-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230403000881 FL Practitioner - Nurse Practitioner 8527433614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuya PAGroup PAC ID 8123281003, 4 clinicians

Practice addresses (Care Compare)

13230 US Hwy 1
Sebastian, FL 32958-3748
Phone (772) 589-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11024306FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuya PA CurrentSince Feb 13, 2023 Accepting new patients

Locations

13230 US Highway 1
Sebastian, FL 32958
Phone (772) 388-3911

752 S US Highway 1
Vero Beach, FL 32962

Organizations & group practices 1

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 2

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1265139463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624748",
            "telephone_number": "772-589-0300",
            "fax_number": "772-589-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8486 106TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329673676",
            "telephone_number": "407-493-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "HALEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.