Individual provider Active NPI

Hailey Eden Williams, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1982352258
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
268070 Issued in AZ
Practice address
920 E Williams Field Rd Ste 101
Gilbert, AZ 85295-4880
Phone
(480) 499-0201
Fax
(480) 520-4409
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 268070 AZ Primary

Addresses

Primary practice location

920 E Williams Field Rd Ste 101
Gilbert, AZ 85295-4880

Mailing address

4583 E Olive CT
Gilbert, AZ 85234-7668
Phone (480) 627-9567

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
I20220420001090 AZ Practitioner - Nurse Practitioner 1951798081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Practice of Arizona PLLCGroup PAC ID 4183963515, 27 clinicians

Practice addresses (Care Compare)

920 E Williams Field Rd
Suite 101
Gilbert, AZ 85295-4880
Phone (480) 499-0201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Practice of Arizona, PLLC CurrentSince Apr 26, 2022 Accepting new patients
Primary Care Practice of Arizona, PLLC CurrentSince Apr 26, 2022 Accepting new patients

Locations

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1982352258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4583 E OLIVE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852347668",
            "telephone_number": "480-627-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E WILLIAMS FIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954880",
            "telephone_number": "480-499-0201",
            "fax_number": "480-520-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HAILEY",
        "middle_name": "EDEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "268070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.