Individual provider Active NPI

Haley Decero, NP

  • Family Nurse Practitioner
  • Madison, WI
National Provider Identifier
1609478908
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10983-33 Issued in WI
Practice address
5401 Quarry Park Rd
Madison, WI 53718-7901
Phone
(844) 767-3769
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.022199 IL
Family Nurse Practitioner 363LF0000X 10983-33 WI Primary

Addresses

Primary practice location

5401 Quarry Park Rd
Madison, WI 53718-7901

Mailing address

311 N Division St
Waunakee, WI 53597-2016
Phone (708) 222-7536

Other practice location 1

311 N Division St
Waunakee, WI 53597-2016
Phone (708) 222-7536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20220111002763 WI Practitioner - Nurse Practitioner 7517359144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sequoia Integrative Medical Services LLCGroup PAC ID 8527480250, 15 clinicians

Practice addresses (Care Compare)

3169 Deming Way
Middleton, WI 53562-1435
Phone (920) 328-1220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.022199ILMDFamily Nurse Practitioner
10983-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kemell Health LLC CurrentSince Nov 18, 2021 Accepting new patients
Madison BH, LLC CurrentSince Apr 11, 2025 Accepting new patients
Sequoia Integrative Medical Services LLC CurrentSince Dec 1, 2023 Accepting new patients
SBH-Madison LLC Past Accepting new patients

Locations

1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220

5401 Quarry Park Rd
Madison, WI 53718
Phone 6086907111 ext. 109

3169 Deming Way
Middleton, WI 53562
Phone (608) 716-8286

3169 Deming Way
Ste A
Middleton, WI 53562

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1609478908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N DIVISION ST",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972016",
            "telephone_number": "708-222-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 QUARRY PARK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187901",
            "telephone_number": "844-767-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Division St",
            "address_purpose": "LOCATION",
            "city": "Waunakee",
            "state": "WI",
            "postal_code": "535972016",
            "country_code": "US",
            "telephone_number": "708-222-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECERO",
        "first_name": "HALEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.022199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10983-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.