WINTA HAILE NP
NPI 1053141952
Nurse Practitioner - Family in Santa Rosa, CA

Q: What is Winta Haile's NPI number?

The NPI number for Winta Haile is 1053141952. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Q: What is Winta Haile's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Winta Haile was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2024PECOS Enrolled

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3600 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Winta Haile Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINTA HAILE NP (NPI 1053141952) is an individual family provider in Santa Rosa, California, licensed in California (95031417) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053141952

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWINTA HAILECredential: NP

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112

Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781

Phone(707) 303-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 5, 2024

NPPES CertifiedAugust 5, 2024

✔ NPI 1053141952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95031417

1300 N DUTTON AVE, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Winta Haile Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496284697

PECOS Enrollment IDI20250131002017

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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