HALEY ELIZABETH ANDERSON PA-C, ATC
NPI 1134504665
Physician Assistant in Jacksonville, FL

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216(609) 709-3691 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Sep 1, 2023 (2 updates tracked since 2023).

About Haley Elizabeth Anderson Pa-c, Atc NPPES

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

HALEY ELIZABETH ANDERSON PA-C, ATC (NPI 1134504665) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (9117956) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134504665
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY ELIZABETH ANDERSONCredential: PA-C, ATC
Location Address6675 CORPORATE CENTER PKWY STE 115Jacksonville, FL 32216-8088
Mailing Address6675 Corporate Center Pkwy Ste 115Jacksonville, FL 32216-8088 · (609) 709-3691
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 27, 2015
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1134504665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · 9117956
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
6675 CORPORATE CENTER PKWY STE 115, Jacksonville, FL 32216

Accepted 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 Elizabeth Anderson Pa-c, Atc 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 ID7618325721
PECOS Enrollment IDI20231130001476
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 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
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.
17 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 20

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

Student in an Organized Health Care Education/Training Program
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Student in an Organized Health Care Education/Training Program
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Physician Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Physician Assistant (Medical)
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Student in an Organized Health Care Education/Training Program
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Anesthesiologist Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Physician Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Physician Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216

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 Anderson's NPI number?

The NPI number for Haley Anderson is 1134504665. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Haley Anderson located?

Haley Anderson practices at 6675 Corporate Center Pkwy Ste 115, Jacksonville, FL 32216. The listed phone number is (609) 709-3691.

What is Haley Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Anderson enrolled in Medicare?

Yes. Haley Anderson 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.

What insurance does Haley Anderson accept?

Health plans from AvMed list Haley Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Haley Anderson affiliated with any hospitals?

According to CMS data, Haley Anderson is affiliated with Shands Jacksonville and Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Haley Anderson was last updated on October 2, 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.