HALEY LYNN KLOBERDANZ ARNP, PMHNP-BC
NPI 1104553304
Nurse Practitioner - Psychiatric/Mental Health in Johnston, IA

Q: What is Haley Kloberdanz's NPI number?

The NPI number for Haley Kloberdanz is 1104553304. It was assigned to this individual provider in the NPPES registry on August 7, 2022.

Q: What is Haley Kloberdanz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Haley Kloberdanz was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 07, 2022PECOS EnrolledAccepts Medicare Assignment

5408 NW 88TH ST STE 140, JOHNSTON, IA 50131(515) 368-7504(515) 355-3491 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Aug 7, 2022 (2 updates tracked since 2022).

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About Haley Lynn Kloberdanz Arnp, Pmhnp-bc NPPES

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

HALEY LYNN KLOBERDANZ ARNP, PMHNP-BC (NPI 1104553304) is an individual psychiatric/mental health provider in Johnston, Iowa, licensed in Iowa (G175218) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Texas At Austin Dell Medical School (2023).

NPPES Registry Identity

NPI1104553304

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHALEY LYNN KLOBERDANZCredential: ARNP, PMHNP-BC

Location Address5408 NW 88TH ST STE 140Johnston, IA 50131-2953

Mailing Address5408 Nw 88th St Ste 140Johnston, IA 50131-2953 · (515) 368-7504 · Fax (515) 355-3491

Phone(515) 368-7504

Fax(515) 355-3491

Sole ProprietorNo

Medical School CMSUniversity Of Texas At Austin Dell Medical SchoolGraduated 2023

Enumeration DateAugust 7, 2022

Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1104553304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IA · G175218

5408 NW 88TH ST STE 140, Johnston, IA 50131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haley Lynn Kloberdanz Arnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901267988

PECOS Enrollment IDI20230808000251

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services17 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

90 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50131 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 6

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

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