Individual provider Active NPI

Haley Ellison Ward, PA-C

  • Medical Physician Assistant
  • Bellingham, WA
National Provider Identifier
1457837569
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61406195 Issued in WA
Practice address
3015 Squalicum Pkwy Ste 180
Bellingham, WA 98225-1946
Phone
(360) 733-5733
Fax
(360) 733-1859
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61406195 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy Ste 180
Bellingham, WA 98225-1946

Mailing address

3015 Squalicum Pkwy Ste 180
Bellingham, WA 98225-1946
Phone (360) 733-5733

Other identifiers 1

IdentifierTypeStateIssuer
2243966MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230808002861 WA Practitioner - Physician Assistant 9234483397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellingham Asthma Allergy Immunology Clinic PSGroup PAC ID 6103810304, 5 clinicians

Practice addresses (Care Compare)

3015 Squalicum Pkwy
Suite 180
Bellingham, WA 98225-1946
Phone (360) 733-5733

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Rim Headache Center Physician Assistant PastSince Apr 13, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: haleyward@baaicps.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1457837569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "HALEY",
        "middle_name": "ELLISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61406195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2243966",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.