Haley Halleman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1391 Issued in ID

Practice address

6291 Main St
Bonners Ferry, ID 83805-8518

Phone

(208) 267-0134

Fax

(208) 561-7865

NPI assigned

Oct 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonners Ferry Family Medicine PLLCGroup PAC ID 3971604166, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Ponderay, ID, CCN 137122
• Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bonners Ferry Family Medicine, PLLC

  • Rural Health Clinic/Center
  • Bonners Ferry, ID
  • NPI 1922152537
  Medicare reassignment Care Compare group
• H.H.H. Holdings PLLC

  • Family Medicine Physician
  • Bonners Ferry, ID
  • NPI 1033065776
  NPD Authorized official

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

• Bonner General Hospital Inc.

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Boundary Community Hospital

  • Critical Access Hospital
  • Bonners Ferry, ID
  • NPI 1801896683
  Care Compare affiliation
• Eden Home Health of Sandpoint, LLC

  • Home Health Agency
  • Ponderay, ID
  • NPI 1346898830
  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409
  Care Compare affiliation

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1932452299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX V",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051286",
            "telephone_number": "208-267-0134",
            "fax_number": "208-561-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6291 MAIN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058518",
            "telephone_number": "208-267-0134",
            "fax_number": "208-561-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEMAN",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "PA1391",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton Bing-Hock Goh, MD
• Ryan James Gorman, DNP, NP-C
• Kari L Gors, LMSW
• H.H.H. Holdings PLLC
• Kathleen Grace Hall
• Hank Willis, DDS, PLLC
• Derek A Hatch, MT
• Hawks Landing of Idaho LLC
• Melanie Helms, RN
• Jill Hight

• Physician Assistant in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.