Individual provider Active NPI

Jillian Faye Haies, ANP,WHNP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1407099336
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305063 Issued in NY
Practice address
801 Amsterdam Ave
New York, NY 10025-5752
Phone
(212) 749-1820
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305063 NY Primary
Women's Health Nurse Practitioner 363LW0102X F420913 NY

Addresses

Primary practice location

801 Amsterdam Ave
New York, NY 10025-5752

Mailing address

801 Amsterdam Ave
New York, NY 10025-5752

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Other names 1

  • Jillian Faye Grover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150619000937 MA Practitioner - Nurse Practitioner 6406994409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHM Services IncGroup PAC ID 4183637929, 22 clinicians

Practice addresses (Care Compare)

260 Cochituate Rd
Suite 102
Framingham, MA 01701-4608
Phone (508) 532-7510

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.59
Promoting interoperability
100
Improvement activities
40
Cost
80.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305063NYMDAdult Health Nurse Practitioner
F420913NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHM Services Inc CurrentSince Aug 8, 2024 Accepting new patients
VHM Services, Inc. CurrentSince Aug 8, 2024 Accepting new patients

Locations

260 Cochituate Rd
#102
Framingham, MA 01701

260 Cochituate Rd
Ste 102
Framingham, MA 01701
Phone (508) 532-7510

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

Interoperability endpoints

  • Direct secure messaging: jillian.haies.1@966.direct.athenahealth.com

Organizations & group practices 2

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1407099336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255752",
            "telephone_number": "212-749-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIES",
        "first_name": "JILLIAN",
        "middle_name": "FAYE",
        "credential": "ANP,WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305063",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "GROVER",
            "middle_name": "FAYE",
            "credential": "ANP, WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.