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HAYLEY SUMNER
NPI 1245034628
Nurse Practitioner - Psychiatric/Mental Health in Avon, IN

Active since April 03, 2025PECOS EnrolledAccepts Medicare Assignment
6701 WILMOT LN, AVON, IN 46123(352) 339-8827 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hayley Sumner NPPES

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

HAYLEY SUMNER (NPI 1245034628) is an individual psychiatric/mental health provider in Avon, Indiana, licensed in Florida (APRN11035893) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245034628
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHAYLEY SUMNER
Location Address6701 WILMOT LNAvon, IN 46123-6623
Mailing Address6701 Wilmot LnAvon, IN 46123-6623
Phone(352) 339-8827
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1245034628 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 FL · APRN11035893
6701 WILMOT LN, Avon, IN 46123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Hayley Sumner 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 ID5991281149
PECOS Enrollment IDI20260108000348
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 Reassignments

2

Medicare enrollment records show Hayley Sumner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Accentus Health LLC
19 mi
Psychiatry
5136 E STOP 11 RD STE 30
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 11 clinicians in this Medicare group
NPI 1295464147 (317) 721-4169
Accentus Mental Health PC
19 mi
Mental Health (Including Community Mental Health Center)
5136 E STOP 11 RD STE 30
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1982493607 (317) 721-4169

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 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Sumner's NPI number?

The NPI number for Hayley Sumner is 1245034628. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Hayley Sumner located?

Hayley Sumner practices at 6701 Wilmot Ln, Avon, IN 46123. The listed phone number is (352) 339-8827.

What is Hayley Sumner's specialty?

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

Is Hayley Sumner enrolled in Medicare?

Yes. Hayley Sumner 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 organizations bill Medicare for Hayley Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Sumner reassigns Medicare benefits to 2 organizations: Accentus Health LLC (Indianapolis, IN) and Accentus Mental Health PC (Indianapolis, IN). Each 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 Hayley Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayley Sumner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Hayley Sumner 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.

When was this NPI record last updated?

The NPPES record for Hayley Sumner was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.