NPIMap

Individual provider Active NPI

Hailey Jo Freeman, FNP-C

  • Family Nurse Practitioner
  • Neenah, WI
National Provider Identifier
1639949324
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14743-33 Issued in WI
Practice address
333 N Commercial St Ste 100
Neenah, WI 54956-2675
Phone
(920) 722-1750
NPI assigned
Jan 4, 2024
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 14743-33 WI Primary

Addresses

Primary practice location

333 N Commercial St Ste 100
Neenah, WI 54956-2675

Mailing address

W6717 US Highway 10 114
Menasha, WI 54952-9421
Phone (310) 663-6458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430001503 WI Practitioner - Nurse Practitioner 8820438419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians

Practice addresses (Care Compare)

333 N Commercial St
Suite 150
Neenah, WI 54956-2670
Phone (920) 886-7525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14743-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of the Fox Valley, SC CurrentSince Mar 1, 2024 Accepting new patients

Locations

100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (614) 340-7747

333 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 722-1750

333 N Commercial St
Ste 150
Neenah, WI 54956
Phone (920) 722-3444

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: hfreeman534419@direct-ehr-ssmhc.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1639949324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6717 US HIGHWAY 10 114",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549529421",
            "telephone_number": "310-663-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N COMMERCIAL ST STE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562675",
            "telephone_number": "920-722-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "HAILEY",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14743-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.