Active NPI
Annette Haley, CRNA
- Certified Registered Nurse Anesthetist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R038099
- Practice address
- 144 State St
Portland, ME 04101-3776 - Phone
- (207) 879-3580
- Fax
- (207) 879-3353
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R038099 | ME | Primary |
Addresses
Primary practice location
144 State St
Portland, ME 04101-3776
Mailing address
144 State St
Portland, ME 04101-3776
Phone (207) 879-3580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432558399 | Medicaid | ME | |
| DC0798 | Other | ME | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060523000071 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345251716 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital
Practice addresses (Care Compare)
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
- Northern Light Mercy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Engineering, Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R038099 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Michael K Taylor, MD, & Jason T Halverson, MD, PLLC | Past | Accepting new patients | |
| Casco Bay Gastroenterology LLC | Past | Accepting new patients | |
| Casco Bay Endoscopy | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
931 Union St
Fl 3
Bangor, ME 04401
195 Fore River Pkwy
Ste 490
Portland, ME 04102
Phone (207) 553-6054
25 Long Creek Dr
Ste B
South Portland, ME 04106
Phone (207) 879-0094
25 Long Creek Dr
South Portland, ME 04106
Phone (207) 535-1100
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- Ambulatory Surgical Clinic/Center
- South Portland, ME
- NPI 1538139001
-
- Gastroenterology Physician
- South Portland, ME
- NPI 1972579241
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
-
- Ophthalmology Physician
- Twin Falls, ID
- NPI 1164455259
Hospital & facility affiliations 2
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1487607396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3580",
"fax_number": "207-879-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3580",
"fax_number": "207-879-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "ANNETTE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "R038099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432558399",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC0798",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.