Individual provider Active NPI

Haley Perry, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1639889587
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022524 Issued in CA
Practice address
4000 Stockdale Hwy Ste D
Bakersfield, CA 93309-2059
Phone
(661) 325-7452
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 95022524 CA Primary

Addresses

Primary practice location

4000 Stockdale Hwy Ste D
Bakersfield, CA 93309-2059

Mailing address

7504 El Roble CT
Bakersfield, CA 93309-2209
Phone (661) 808-3958

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AmazingCharts Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231012002730 CA Practitioner - Nurse Practitioner 9638524531 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
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

2701 Chester Ave
Bakersfield, CA 93301-2016

Hospital & facility affiliations

  • Reliable Healthcare LLC Home health agency, Bakersfield, CA, CCN 757275
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 15, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 15, 2023 Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1639889587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 EL ROBLE CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092209",
            "telephone_number": "661-808-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 STOCKDALE HWY STE D",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092059",
            "telephone_number": "661-325-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HALEY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AmazingCharts",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4000 Stockdale Hwy Ste D",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933092059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.