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DR. HAYLEY ANN SHACKLEFORD MD
NPI 1114593340
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since May 28, 2021PECOS Enrolled
1400 W 22ND ST, SIOUX FALLS, SD 57105(605) 333-7197 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Hayley Ann Shackleford Md NPPES

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

DR. HAYLEY ANN SHACKLEFORD MD (NPI 1114593340) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114593340
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. HAYLEY ANN SHACKLEFORDCredential: MD
Location Address1400 W 22ND STSioux Falls, SD 57105-1554
Mailing Address60 W 8th Ave Apt C2Columbus, OH 43201-8303 · (571) 426-9312
Phone(605) 333-7197
Sole ProprietorNo
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1114593340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 W 22ND ST, Sioux Falls, SD 57105
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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)

Dr. Hayley Ann Shackleford Md 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.

Other Providers at the Same Location NPPES 20

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

MARIA SEBALIA KOENEN MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1391
DR. MARIA FERNANDA VILLARROEL PINELL M.D.
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-7197
CHRISTIAN TOBIN MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1391
MAHEERA FAROOQI MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1461
LUBIN ROY DENG
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1380
JEFFREY WALSH DO
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5737
ASHLEY STRUBE
Pediatrics
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-7197
JODI ANNE VEACH MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1380

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 Hayley Shackleford's NPI number?

The NPI number for Hayley Shackleford is 1114593340. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Hayley Shackleford located?

Hayley Shackleford practices at 1400 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 333-7197.

What is Hayley Shackleford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hayley Shackleford enrolled in Medicare?

Yes. Hayley Shackleford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hayley Shackleford was last updated on May 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.