HALEY JO TETREAULT DNP, FNP-C
NPI 1134055981
Nurse Practitioner - Family in Enosburg Falls, VT

Active since June 19, 2026PECOS EnrolledAccepts Medicare Assignment
84 WATER TOWER RD STE 1, ENOSBURG FALLS, VT 05450(802) 933-6664 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haley Jo Tetreault Dnp, Fnp-c NPPES

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

HALEY JO TETREAULT DNP, FNP-C (NPI 1134055981) is an individual family provider in Enosburg Falls, Vermont, licensed in Vermont (101.0139517) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2026).

NPPES Registry Identity

NPI1134055981
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY JO TETREAULTCredential: DNP, FNP-C
Location Address84 WATER TOWER RD STE 1Enosburg Falls, VT 05450-6097
Mailing Address84 Water Tower Rd Ste 1Enosburg Falls, VT 05450-6097 · (802) 933-6664
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2026
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1134055981 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 VT · 101.0139517
84 WATER TOWER RD STE 1, Enosburg Falls, VT 05450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haley Jo Tetreault Dnp, Fnp-c 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 ID2769940097
PECOS Enrollment IDI20260818001008
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.

Medicare Billing Reassignment

Medicare enrollment records show Haley Tetreault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
600 BLAIR PARK RD STE 285
Williston, VT 05495
  • Reassigned Medicare billing, Vermont enrollment
  • 53 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05450 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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

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

Nurse Practitioner (Adult Health)
84 WATER TOWER RD STE 1
ENOSBURG FALLS, VT 05450

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 Tetreault's NPI number?

The NPI number for Haley Tetreault is 1134055981. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Haley Tetreault located?

Haley Tetreault practices at 84 Water Tower Rd Ste 1, Enosburg Falls, VT 05450. The listed phone number is (802) 933-6664.

What is Haley Tetreault's specialty?

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

Is Haley Tetreault enrolled in Medicare?

Yes. Haley Tetreault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Haley Tetreault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Tetreault reassigns Medicare benefits to Primary Care Health Partners - Vermont LLP (Williston, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Tetreault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Haley Tetreault was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.