Hayley Sumner Nichols, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11027256 Issued in FL

Practice address

16729 SW Gaskin St
Blountstown, FL 32424-2149

Phone

(850) 643-8001

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calhoun-Liberty Hospital Association IncGroup PAC ID 8820007016, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hayley.nichols.1@23653.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e

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.

• Calhoun-Liberty Hospital Association Inc

  • Skilled Nursing Facility
  • Blountstown, FL
  • NPI 1033434196
  Medicare reassignment NPD
• Calhoun-Liberty Hospital Association Inc

  • Emergency Care Clinic/Center
  • Blountstown, FL
  • NPI 1649596784
  Medicare reassignment NPD
• Calhoun-Liberty Hospital Association Inc

  dba Calhoun-Liberty Primary Care Clinic

  • Primary Care Clinic/Center
  • Blountstown, FL
  • NPI 1588944334
  NPD
• Calhoun Liberty Hospital Association, Inc.

  • Critical Access Hospital
  • Blountstown, FL
  • NPI 1437253085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1396422473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16729 SW GASKIN ST",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242149",
            "telephone_number": "850-643-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16729 SW GASKIN ST",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242149",
            "telephone_number": "850-643-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "HAYLEY",
        "middle_name": "SUMNER",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karah McDougald
• Michael B. McKenzie, ARNP
• Medical Center LLC (The Medical Center of Blountstown)
• Myron D. Schrock, D.M.D., P.a.
• New Millennium Training LLC (New Millennium Labs)
• Nieves Home Care Services
• Nieves Home Care Transportation LLC
• Kelsey Odom
• Pancare of Florida, Inc (Golden Pharmacy)
• Pancare of Florida, Inc

• Family Nurse Practitioner in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.