Individual provider Active NPI

Haley Reulbach, NP

  • Nurse Practitioner
  • Flint, MI
National Provider Identifier
1306594023
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704373975 Issued in MI
Practice address
4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone
(810) 342-3801
Fax
(810) 342-3856
NPI assigned
Mar 11, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704373975 MI Primary

Addresses

Primary practice location

4100 Beecher Rd Ste a
Flint, MI 48532-3661

Mailing address

4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone (810) 342-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220404001874 MI Practitioner - Nurse Practitioner 1355737156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

4100 Beecher Rd
Suite a
Flint, MI 48532-3661
Phone (810) 342-3800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Current Accepting new patients
McLaren Flint CurrentSince Mar 28, 2022 Accepting new patients
McLaren Flint Nurse Practitioner CurrentSince Mar 28, 2022 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

4100 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 342-3800

4100 Beecher Rd
Flint, MI 48532
Phone (810) 235-8568

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1306594023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-342-3801",
            "fax_number": "810-342-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-342-3801",
            "fax_number": "810-342-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REULBACH",
        "first_name": "HALEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704373975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.