1. Home
  2. Directory
  3. Alabama
  4. Northport
  5. Nurse Practitioner
  6. NPI Profile

HALEY BOLEN CRNP
NPI 1104416486
Nurse Practitioner - Family in Northport, AL

Active since January 21, 2021PECOS Enrolled
1116 MITT LARY RD, NORTHPORT, AL 35475(205) 556-5634 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haley Bolen Crnp NPPES

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

HALEY BOLEN CRNP (NPI 1104416486) is an individual family provider in Northport, Alabama, licensed in Alabama (1-145272) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104416486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY BOLENCredential: CRNP
Location Address1116 MITT LARY RDNorthport, AL 35475-4978
Mailing Address1116 Mitt Lary RdNorthport, AL 35475-4978 · (205) 556-5634
Phone(205) 556-5634
Sole ProprietorNo
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1104416486 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 AL · 1-145272
1116 MITT LARY RD, Northport, AL 35475
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Bolen Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35475 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON CLEMENTS CRNP
Nurse Practitioner
1116 MITT LARY RD
NORTHPORT, AL 35475
Tuscaloosa County (334) 332-0884
ALLEGRA HEALTHCARE
Family Medicine
1116 MITT LARY RD
NORTHPORT, AL 35475
Tuscaloosa County (205) 556-5634
CAITLYN NOEL BARTON CRNP
Nurse Practitioner (Family)
1116 MITT LARY RD
NORTHPORT, AL 35475
Tuscaloosa County (205) 556-5634
CRIMSON CARE NORTH
Family Medicine
1116 MITT LARY RD
NORTHPORT, AL 35475
Tuscaloosa County (205) 556-5634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haley Bolen's NPI number?

The NPI number for Haley Bolen is 1104416486. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Haley Bolen located?

Haley Bolen practices at 1116 Mitt Lary Rd, Northport, AL 35475. The listed phone number is (205) 556-5634.

What is Haley Bolen's specialty?

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

Is Haley Bolen enrolled in Medicare?

Yes. Haley Bolen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haley Bolen was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.