Individual provider Active NPI

Hayley Kisiel, CNM

  • Advanced Practice Midwife
  • Tucson, AZ
National Provider Identifier
1740946367
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
264383 Issued in AZ
Practice address
2424 N Wyatt Dr Ste 260
Tucson, AZ 85712-6118
Phone
(520) 877-3800
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 264383 AZ Primary

Addresses

Primary practice location

2424 N Wyatt Dr Ste 260
Tucson, AZ 85712-6118

Mailing address

2424 N Wyatt Dr Ste 260
Tucson, AZ 85712-6118
Phone (520) 877-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208002540 AZ Practitioner - Certified Nurse Midwife (CNM) 0547632184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
264383AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince Sep 17, 2022 Accepting new patients
Northwest Hospital LLC Past Accepting new patients

Locations

120 W Calle de las Tiendas
Green Valley, AZ 85614
Phone (520) 570-7884

1521 E Tangerine Rd
Ste 209
Oro Valley, AZ 85755
Phone (520) 545-0573

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

6261 N La Cholla Blvd
Ste 277
Tucson, AZ 85741
Phone (520) 694-6800

6261 N La Cholla Blvd
Ste 3
Tucson, AZ 85741

10350 E Drexel Rd
Tucson, AZ 85747
Phone (520) 290-4846

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hayley.kisiel.1@19050.direct.athenahealth.com

Organizations & group practices 2

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1740946367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR STE 260",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126118",
            "telephone_number": "520-877-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR STE 260",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126118",
            "telephone_number": "520-877-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISIEL",
        "first_name": "HAYLEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "264383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.