Individual provider Active NPI

Haley Laene Bohl Mejias, MMS PA-C

  • Physician Assistant
  • Apache Junction, AZ
National Provider Identifier
1962970343
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7305 Issued in AZ
Practice address
300 S Phelps Dr
Apache Junction, AZ 85120-6700
Phone
(480) 536-6850
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7305 AZ Primary

Addresses

Primary practice location

300 S Phelps Dr
Apache Junction, AZ 85120-6700

Mailing address

300 S Phelps Dr
Apache Junction, AZ 85120-6700
Phone (480) 536-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190128002858 AZ Practitioner - Physician Assistant 2264779362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Walk-in Medical ClinicGroup PAC ID 5496975153, 13 clinicians
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

16605 E Palisades Blvd
Suite 150
Fountain Hills, AZ 85268-3717
Phone (480) 837-4300

300 S Phelps Dr
Apache Junction, AZ 85120-6700
Phone (602) 755-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7305AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Newco Hatfield Medical Group PLLC CurrentSince Dec 15, 2025 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Dec 15, 2025 Accepting new patients
Allen Family Medicine PLLC Past Accepting new patients

Locations

300 S Phelps Dr
Apache Junction, AZ 85120
Phone (480) 536-6850

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1962970343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PHELPS DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206700",
            "telephone_number": "480-536-6850",
            "fax_number": "602-834-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PHELPS DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206700",
            "telephone_number": "480-536-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIAS",
        "first_name": "HALEY",
        "middle_name": "LAENE BOHL",
        "credential": "MMS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.