HALEY ANN KETCHAM FNP
NPI 1174280903
Nurse Practitioner - Family in Hampton Bays, NY
About Haley Ann Ketcham Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEY ANN KETCHAM FNP (NPI 1174280903) is an individual family provider in Hampton Bays, New York, licensed in New York (F348701) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2021).
NPPES Registry Identity
Specialties & Licenses
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 Ann Ketcham Fnp 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peconic Bay Medical Center
Acute Care Hospitals · Riverhead, NYGood Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYSuny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11946 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ketcham's NPI number?
The NPI number for Haley Ketcham is 1174280903. It was assigned to this individual provider in the NPPES registry on November 29, 2021.
Where is Haley Ketcham located?
Haley Ketcham practices at 6 Long Ln, Hampton Bays, NY 11946. The listed phone number is (631) 566-5217.
What is Haley Ketcham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Haley Ketcham enrolled in Medicare?
Yes. Haley Ketcham 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.
Is Haley Ketcham affiliated with any hospitals?
According to CMS data, Haley Ketcham is affiliated with Peconic Bay Medical Center, Good Samaritan Hospital Medical Center and Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Haley Ketcham was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Haley Ann Ketcham, FNP · NPI 1174280903
Family physician in Hampton Bays, New York. Individual provider, active in the CMS NPPES registry since November 29, 2021.
## Identity
- **NPI:** 1174280903 (Entity type: Individual)
- **Enumerated:** November 29, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F348701 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 LONG LN, Hampton Bays, NY 11946-2641
- **Phone:** (631) 566-5217
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of New York Downstate Medical Center, class of 2021
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174280903) · Data from the CMS NPPES public registry.