Nanci K Haecker, C.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA. 11636-NP Issued in OH

Practice address

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899

Phone

(740) 333-3333

Fax

(740) 333-5171

NPI assigned

Sep 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Nanci K Cluxton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Health Providers CorpGroup PAC ID 0244257848, 15 clinicians

Highland Urgent CareGroup PAC ID 2365630183, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nhaecker@yourcarecommunity.org
• Direct secure messaging: nancihaecker@hhproviders.allscriptsdirect.net
• Direct secure messaging: nhaecker404235@direct.trihealth.com

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.

• Highland Health Providers Corp

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, OH
  • NPI 1396702445
  Medicare reassignment Care Compare group NPD
• Highland Urgent Care

  • Urgent Care Clinic/Center
  • Hillsboro, OH
  • NPI 1619283173
  Medicare reassignment Care Compare group NPD
• Highland Health Providers Corp

  • Federally Qualified Health Center (FQHC)
  • Winchester, OH
  • NPI 1881277507
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1558679126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE B 6-7-8",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-2236",
            "fax_number": "740-333-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-333-3333",
            "fax_number": "740-333-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAECKER",
        "first_name": "NANCI",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "C.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA. 11636-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050522",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nhaecker@yourcarecommunity.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1510 Columbus Ave",
            "address_2": "Suite 230",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431601899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "CLUXTON",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "C.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.