Individual provider Active NPI

Haley Caldwell Psencik, FNP-BC

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1972910735
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125965 Issued in TX
Practice address
1264 Tamu
College Station, TX 77843-1264
Phone
(979) 458-8300
Fax
(979) 458-8319
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125965 TX Primary

Addresses

Primary practice location

1264 Tamu
College Station, TX 77843-1264

Mailing address

1264 Tamu
College Station, TX 77843-1264
Phone (979) 458-8300

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
I20141110001822 TX Practitioner - Nurse Practitioner 5597987438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125965TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1972910735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 TAMU",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431264",
            "telephone_number": "979-458-8300",
            "fax_number": "979-458-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 TAMU",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431264",
            "telephone_number": "979-458-8300",
            "fax_number": "979-458-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSENCIK",
        "first_name": "HALEY",
        "middle_name": "CALDWELL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.