Individual provider Active NPI

Hayley Michelle Ward, ARNP

  • Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1396527990
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11028954 Issued in FL
Practice address
105 Southpark Blvd
St Augustine, FL 32086-5191
Phone
(904) 217-5283
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 APRN11028954 FL Primary

Addresses

Primary practice location

105 Southpark Blvd
St Augustine, FL 32086-5191

Mailing address

13224 Milhouse Way
Jacksonville, FL 32224-1359

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
I20231218003296 FL Practitioner - Nurse Practitioner 5395194278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as group
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
63.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ouch, PA CurrentSince Nov 12, 2023 Accepting new patients

Locations

800 Zeagler Dr
Ste 510
Palatka, FL 32177
Phone (386) 325-2663

105 Southpark Blvd
Ste C300
St Augustine, FL 32086
Phone (904) 808-7246

Interoperability endpoints

  • Direct secure messaging: hayley.ward.1@31553.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1396527990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 MILHOUSE WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865191",
            "telephone_number": "904-217-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "HAYLEY",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11028954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.