Individual provider Active NPI

Hayley Rose Wible, D.O.

  • Internal Medicine Physician
  • Bloomington, IN
National Provider Identifier
1477728939
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01066990A Issued in IN
Practice address
1302 S Rogers St
Bloomington, IN 47403-4752
Phone
(812) 353-3700
Fax
(812) 353-3710
NPI assigned
Apr 25, 2008
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01066990A IN Primary

Addresses

Primary practice location

1302 S Rogers St
Bloomington, IN 47403-4752

Mailing address

PO Box 1329
Bloomington, IN 47402-1329

Other practice location 1

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 355-6900

Other practice location 2

888 S Auto Mall Rd
Bloomington, IN 47401-5430
Phone (812) 353-2700

Other identifiers 1

IdentifierTypeStateIssuer
200986960MedicaidIN

Other names 1

  • Hayley Rose Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000399 IN Practitioner - Internal Medicine 9234263005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jul 1, 2010 Accepting new patients
Major Hospital Past Accepting new patients
Indiana University Past Accepting new patients

Locations

1302 S Rogers St
Bloomington, IN 47403
Phone (812) 333-2663

550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

888 S Auto Mall Rd
Bloomington, IN 47401
Phone (812) 353-2700

Interoperability endpoints

  • Direct secure messaging: hayley.wible@iushc.eclinicaldirectplus.com
  • Direct secure messaging: hwible1@direct.iuhealth.org

Organizations & group practices 4

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1477728939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034752",
            "telephone_number": "812-353-3700",
            "fax_number": "812-353-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "812-355-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 S Auto Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015430",
            "country_code": "US",
            "telephone_number": "812-353-2700",
            "fax_number": "812-353-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIBLE",
        "first_name": "HAYLEY",
        "middle_name": "ROSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01066990A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200986960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "LEWIS",
            "middle_name": "ROSE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.