Individual provider Active NPI

Amy Gay Haufler, NP

  • Adult Health Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1932220332
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
695825 Issued in TX
Practice address
1717 Precinct Line Rd Ste 101
Hurst, TX 76054-3169
Phone
(817) 520-5430
Fax
(817) 520-5431
NPI assigned
Apr 3, 2007
Last updated
Jun 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 695825 TX Primary

Addresses

Primary practice location

1717 Precinct Line Rd Ste 101
Hurst, TX 76054-3169

Mailing address

1900 Plymouth CT
Arlington, TX 76013-4807
Phone (817) 795-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20041001000392 TX Practitioner - Nurse Practitioner 7517936974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Medical Services PLLCGroup PAC ID 3971661018, 15 clinicians

Practice addresses (Care Compare)

6800 Preston Rd
Plano, TX 75024-2505
Phone (661) 262-7479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
695825TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Mar 26, 2018 Accepting new patients
Neurology Specialists of Dallas, PA PastSince Mar 1, 2004 Accepting new patients
Neurology Specialists PLLC PastSince Jan 15, 2023 Accepting new patients
Urology Associates of North Texas LLP Past Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1932220332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PLYMOUTH CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134807",
            "telephone_number": "817-795-9675",
            "fax_number": "817-520-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 PRECINCT LINE RD STE 101",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543169",
            "telephone_number": "817-520-5430",
            "fax_number": "817-520-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUFLER",
        "first_name": "AMY",
        "middle_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "695825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.