Individual provider Active NPI

Haley Rae Feiler, PA-C

  • Physician Assistant
  • Tullahoma, TN
National Provider Identifier
1396317608
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4505 Issued in TN
Practice address
100 Hunters LN
Tullahoma, TN 37388-8263
Phone
(312) 224-6879
NPI assigned
Jul 15, 2021
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 4505 TN Primary

Addresses

Primary practice location

100 Hunters LN
Tullahoma, TN 37388-8263

Mailing address

100 Hunters LN
Tullahoma, TN 37388-8263
Phone (931) 222-4687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL2 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
I20210907003522 TN Practitioner - Physician Assistant 2961808563 Reassigns benefits to 1 organization
I20230926002013 IL Practitioner - Physician Assistant 2961808563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3863

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4505TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Sep 18, 2023 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Sep 1, 2021 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Sep 1, 2021 Accepting new patients
Amg -Southern Tennessee LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 755
Chicago, IL 60612
Phone (312) 563-2030

1725 W Harrison St
Ste 855
Chicago, IL 60612
Phone (312) 563-2320

1725 W Harrison St
Ste 885
Chicago, IL 60612
Phone (312) 483-0851

75 Remittance Dr
Dept 1611
Chicago, IL 60675

900 N Westmoreland Rd
Ste 226
Lake Forest, IL 60045
Phone (847) 234-3300

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

100 Hunters Ln
Tullahoma, TN 37388
Phone (931) 455-4616

1894 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-3522

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

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 3

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1396317608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "931-222-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "312-224-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEILER",
        "first_name": "HALEY",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.