NPIMap

Individual provider Active NPI

Hailey Harden

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1841554870
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221976 Issued in AR
Practice address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone
(870) 508-1000
NPI assigned
Jun 25, 2012
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221976 AR Primary
Licensed Practical Nurse 164W00000X L48992 AR

Addresses

Primary practice location

624 Hospital Dr
Mountain Home, AR 72653-2955

Mailing address

PO Box 302
Calico Rock, AR 72519-0302

Other names 1

  • Hailey Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230315003203 AR Practitioner - Nurse Practitioner 5496129397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Health SystemGroup PAC ID 0941507677, 20 clinicians

Practice addresses (Care Compare)

1019 E Main St
Baxter Health Family Clinic at Melbourne
Melbourne, AR 72556-8240
Phone (870) 916-2150

103 Mountain Place Dr
Mountain View, AR 72560-6802
Phone (870) 269-3447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L48992ARMDLicensed Practical Nurse
221976ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Regional Health System CurrentSince Feb 20, 2023 Accepting new patients
Baxter Regional Health System Family Current Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jan 13, 2026 Accepting new patients
Baxter Regional Health System CurrentSince Feb 20, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 24, 2024 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jan 13, 2026 Accepting new patients
Baxter Regional Health System Past Accepting new patients
Ascent Acquisitions Corp-Cypdc Past Accepting new patients

Locations

1019 E Main St
Melbourne, AR 72556
Phone (870) 368-4729

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

102 Mountain Place Dr
Ste C
Mountain View, AR 72560
Phone (870) 232-5315

103 Mountain Place Dr
Mountain View, AR 72560
Phone (870) 269-3447

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: hailey.harden@bhcawp.eclinicaldirectplus.com

Organizations & group practices 9

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 2

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1841554870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725190302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "HAILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "221976",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L48992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "WILLIAMS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.