Individual provider Active NPI

Haleigh Penafiel, APRN

  • Family Nurse Practitioner
  • Newton, KS
National Provider Identifier
1467158147
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81903 Issued in KS
Practice address
700 Medical Center Dr Ste 210
Newton, KS 67114-4446
Phone
(316) 283-2800
Fax
(316) 283-3575
NPI assigned
Feb 3, 2023
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81903 KS Primary

Addresses

Primary practice location

700 Medical Center Dr Ste 210
Newton, KS 67114-4446

Mailing address

700 Medical Center Dr Ste 210
Newton, KS 67114-4446
Phone (316) 283-2800

Other identifiers 1

IdentifierTypeStateIssuer
81903OtherKSKANSAS BOARD OF NURSING LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230217000877 KS Practitioner - Nurse Practitioner 8426420548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axtell Clinic PAGroup PAC ID 6406831544, 11 clinicians

Practice addresses (Care Compare)

700 Medical Ctr Dr
Suite 210
Newton, KS 67114-9017
Phone (316) 283-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81903KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axtell Clinic, PA CurrentSince Feb 3, 2023 Accepting new patients
Axtell Eye Center LLC Current Accepting new patients

Locations

700 Medical Center Dr
Ste 210
Newton, KS 67114
Phone (316) 283-2800

Interoperability endpoints

  • Direct secure messaging: haleigh.kerr.1@12072.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.

Hospital & facility affiliations 1

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": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1467158147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR STE 210",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671144446",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR STE 210",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671144446",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFIEL",
        "first_name": "HALEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF NURSING LICENSE NUMBER",
            "identifier": "81903",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.