Haley Mae Anderson, FNP
Individual provider Active NPI Family Nurse Practitioner · Yorktown, IN
NPI 1821467366 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1821467366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71005829A (IN)
- Practice address
- 9730 W Smith St
Yorktown, IN 47396-1199 - Phone
- (765) 722-6130
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Vincent Medical Group Inc
Practice addresses (Care Compare)
3041 W US Hwy 36
Pendleton, IN 46064-9280
Phone (765) 778-0000
Hospital & facility affiliations
- Ascension St Vincent Anderson
- Indiana University Health Ball Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151113000645 | IN | Practitioner - Nurse Practitioner | 3375853880 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Family | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
3041 W US Highway 36
Pendleton, IN 46064
Phone (765) 529-5300
Interoperability endpoints
- haley.anderson.1@7598.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005829A | IN | Yes |
Addresses
Primary practice location
9730 W Smith St
Yorktown, IN 47396-1199
Mailing address
9730 W Smith St
Yorktown, IN 47396-1199
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | haley.anderson.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Other providers in Yorktown, IN
- Active Day in, Inc.
- Adams County Memorial Hospital
- Ahp Yorktown Al LLC
- Bachar Al Khatib
- Morgan Anderson
- Darla Sue Baker
- Holly Baxter
- Kyra Lee Blankenship
- Paul Botsford
All providers in Yorktown, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.