Individual provider Active NPI

Haley McCall Johns

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1356004337
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016866 Issued in KY
Practice address
1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone
(270) 465-2821
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 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 3016866 KY Primary

Addresses

Primary practice location

1698 Old Lebanon Rd
Campbellsville, KY 42718-3319

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone (270) 465-3561

Other practice location 1

3066 Campbellsville Rd
Columbia, KY 42728-9511
Phone (270) 789-0587

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
I20220303002228 KY Practitioner - Nurse Practitioner 4284028440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, 60 clinicians

Practice addresses (Care Compare)

3066 Campbellsville Rd
Columbia, KY 42728-9511
Phone (270) 789-0587

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016866KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Taylor Regional Medical Group LLC Family CurrentSince Jan 29, 2024 Accepting new patients
Taylor Regional Medical Group, LLC Family CurrentSince Jan 29, 2024 Accepting new patients
Bluegrass Renal Care, PSC CurrentSince Jul 21, 2024 Accepting new patients
Bluegrass Renal Care, PSC CurrentSince Feb 22, 2022 Accepting new patients

Locations

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

3066 Campbellsville Rd
Columbia, KY 42728
Phone (270) 384-6451

3229 Summit Square Pl
Ste 240
Lexington, KY 40509
Phone (502) 867-0411

3229 Summit Square Pl
Lexington, KY 40509
Phone (502) 867-0411

Interoperability endpoints

  • Direct secure messaging: haleywright@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: baz4444@yourcarecommunity.org

Organizations & group practices 6

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1356004337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183319",
            "telephone_number": "270-465-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183319",
            "telephone_number": "270-465-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3066 Campbellsville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427289511",
            "country_code": "US",
            "telephone_number": "270-789-0587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "HALEY",
        "middle_name": "MCCALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.