Haley Brooke Pemberton, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-178530 Issued in AL

Practice address

277 Huntress St
Wetumpka, AL 36092-3329

Phone

(334) 567-3309

NPI assigned

Jun 21, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Region Family Medicine, LLCGroup PAC ID 2163853151, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivy Creek Home Health of Elmore Home health agency, Wetumpka, AL, CCN 017116
• Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• River Region Family Medicine, LLC

  • Family Medicine Physician
  • Wetumpka, AL
  • NPI 1578195525
  Medicare reassignment Care Compare group
• Central Alabama Primary and Urgent Care Associates

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1750903928
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Ivy Creek Home Health of Elmore, LLC

  dba Ivy Creek Home Health of Elmore

  • Home Health Agency
  • Wetumpka, AL
  • NPI 1255533642
  Care Compare affiliation
• Ivy Creek of Elmore, LLC

  dba Elmore Community Hospital

  • General Acute Care Hospital
  • Wetumpka, AL
  • NPI 1588795942
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Prattville Baptist Hospital

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1770268138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HUNTRESS ST",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360923329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HUNTRESS ST",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360923329",
            "telephone_number": "334-567-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "HALEY",
        "middle_name": "BROOKE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-178530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ott, RN
• Reese Owen
• Owens Optical of Wetumpka Inc
• Katrina G Owes
• Alichia Lashawn Pecks, FNP
• Betty Jo Penton, L.P.C.
• Perfect Pain Solutions, L.L.C.
• Meagan Louise Petrunic
• Van Pham, RPH
• Pharmix RX LLC

• Family Nurse Practitioner in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.