HALEIGH N GROOMES
NPI 1255170478
Nurse Practitioner - Family in Algonac, MI

Active since May 20, 2024PECOS Enrolled
555 SAINT CLAIR RIVER DR, ALGONAC, MI 48001(810) 794-4917 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2025, May 7, 2025 (2 updates tracked since 2025).

About Haleigh N Groomes NPPES

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

HALEIGH N GROOMES (NPI 1255170478) is an individual family provider in Algonac, Michigan, licensed in Michigan (4704343085) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255170478
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEIGH N GROOMES
Location Address555 SAINT CLAIR RIVER DRAlgonac, MI 48001-1802
Mailing Address555 Saint Clair River DrAlgonac, MI 48001-1802 · (586) 295-9088
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1255170478 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 MI · 4704343085
555 SAINT CLAIR RIVER DR, Algonac, MI 48001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haleigh N Groomes 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.

Medicare Billing Reassignments

15

Medicare enrollment records show Haleigh Groomes reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
555 SAINT CLAIR RIVER DR
Algonac, MI 48001
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
Urgent Care
51160 GRATIOT AVE
Chesterfield, MI 48051
  • Reassigned Medicare billing, Michigan enrollment
  • 89 clinicians in this Medicare group
Family Medicine
37150 S GRATIOT AVE
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 91 clinicians in this Medicare group
Urgent Care
43722 SCHOENHERR RD
Sterling Heights, MI 48313
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
Family Medicine
46965 VAN DYKE AVE
Shelby Twp, MI 48317
  • Reassigned Medicare billing, Michigan enrollment
  • 92 clinicians in this Medicare group
Urgent Care
2161 18 MILE RD
Sterling Heights, MI 48314
  • Reassigned Medicare billing, Michigan enrollment
  • 64 clinicians in this Medicare group
Urgent Care
4060 ROCHESTER RD
Troy, MI 48085
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
Urgent Care
1933 W MAPLE RD
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 63 clinicians in this Medicare group
Urgent Care
2915 WALTON BLVD
Rochester Hills, MI 48309
  • Reassigned Medicare billing, Michigan enrollment
  • 91 clinicians in this Medicare group
Urgent Care
14671 TELEGRAPH RD
Redford, MI 48239
  • Reassigned Medicare billing, Michigan enrollment
  • 102 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.

Areas of Expertise CMS Part B claims

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.

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 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48001 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Social Worker (Clinical)
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Registered Nurse
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Counselor (Mental Health)
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
Social Worker
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001

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 Haleigh Groomes's NPI number?

The NPI number for Haleigh Groomes is 1255170478. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Haleigh Groomes located?

Haleigh Groomes practices at 555 Saint Clair River Dr, Algonac, MI 48001. The listed phone number is (810) 794-4917.

What is Haleigh Groomes's specialty?

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

Is Haleigh Groomes enrolled in Medicare?

Yes. Haleigh Groomes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Haleigh Groomes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haleigh Groomes reassigns Medicare benefits to 15 organizations: Downriver Community Services, Inc. (Algonac, MI), Chesterfield Urgent Care Walk-In Clinic (Chesterfield, MI), Clinton Urgent Care Walk-In Clinic (Clinton Township, MI), Sterling Heights Urgent Care Walk-In Clinic (Sterling Heights, MI), Shelby Urgent Care Walk-In Clinic (Shelby Twp, MI) and 10 more organizations, listed in the Medicare section above. 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 Haleigh Groomes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haleigh Groomes accept?

Health plans from Priority Health and UnitedHealthcare list Haleigh Groomes 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 Haleigh Groomes was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.