NPIMap

Individual provider Active NPI

Haley J Ford, PA

  • Physician Assistant
  • Sidney, NE
National Provider Identifier
1679771893
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1008 Issued in NE
Practice address
610 Glover Rd Ste 4
Sidney, NE 69162-3050
Phone
(308) 254-4527
Fax
(308) 254-7257
NPI assigned
Jul 10, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1008 NE Primary

Addresses

Primary practice location

610 Glover Rd Ste 4
Sidney, NE 69162-3050

Mailing address

1625 Dorwart Dr Ste B
Sidney, NE 69162-2505
Phone (308) 254-4852

Other identifiers 1

IdentifierTypeStateIssuer
1078172OtherNENATIONAL COMMISSION OF CE

Other names 1

  • Haley J Henkel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20070929000095 NE Practitioner - Physician Assistant 8022103498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 Glover Rd
Suite 3
Sidney, NE 69162-3050
Phone (308) 254-8736

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1008NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association, Inc. CurrentSince May 21, 2015 Accepting new patients
Cheyenne County Hospital Association CurrentSince May 21, 2015 Accepting new patients
Cheyenne County Hospital Association Inc Physician Assistant PastSince Apr 17, 2020 Accepting new patients
Lincoln Digestive Health Center LLC Past Accepting new patients

Locations

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

610 Glover Rd
Ste 4
Sidney, NE 69162
Phone (308) 254-4527

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sidney Regional Medical Center Walk in ClinicSidney, NE, CCN 288552 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Oct 15, 2019
Oct 15, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1679771893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR STE B",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-4852",
            "fax_number": "308-254-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GLOVER RD STE 4",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623050",
            "telephone_number": "308-254-4527",
            "fax_number": "308-254-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "HALEY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION OF CE",
            "identifier": "1078172",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "HENKEL",
            "middle_name": "J",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.