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NOELLE MORTENSEN HAINES A.P.R.N FNP-BC
NPI 1285214205
Nurse Practitioner - Family in Salt Lake City, UT

Active since April 13, 2021PECOS Enrolled
2796 S 2000 E, SALT LAKE CITY, UT 84109(301) 693-7830 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Mar 12, 2025, Dec 24, 2024 and 3 more (6 updates tracked since 2021).

About Noelle Mortensen Haines A.p.r.n Fnp-bc NPPES

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

NOELLE MORTENSEN HAINES A.P.R.N FNP-BC (NPI 1285214205) is an individual family provider in Salt Lake City, Utah, licensed in Utah (10216868-4405) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285214205
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNOELLE MORTENSEN HAINESCredential: A.P.R.N FNP-BC
Location Address2796 S 2000 ESalt Lake City, UT 84109-1737
Mailing Address12433 S Fort StDraper, UT 84020-9363 · (801) 576-1086 · Fax (801) 576-9796
Phone(301) 693-7830
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1285214205 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 UT · 10216868-4405
2796 S 2000 E, Salt Lake City, UT 84109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noelle Mortensen Haines A.p.r.n Fnp-bc 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

2

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

Amazing Medical Associates, Inc
4.4 mi
Multi-Specialty
434 W ASCENSION WAY STE 225
Murray, UT 84123
  • Reassigned Medicare billing, Utah enrollment
  • 33 clinicians in this Medicare group
NPI 1487836532 (801) 716-7008
Patients Choice Providers Of Utah LLC
20 mi
Geriatric Medicine
627 W 4000 N
Pleasant Grove, UT 84062
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1497595011 (801) 471-1965

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 9

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
139 services62 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
122 services49 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
78 services38 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
53 services53 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
42 services19 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
27 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84109 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Noelle Haines's NPI number?

The NPI number for Noelle Haines is 1285214205. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Noelle Haines located?

Noelle Haines practices at 2796 S 2000 E, Salt Lake City, UT 84109. The listed phone number is (301) 693-7830.

What is Noelle Haines's specialty?

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

Is Noelle Haines enrolled in Medicare?

Yes. Noelle Haines is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Noelle Haines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noelle Haines reassigns Medicare benefits to 2 organizations: Amazing Medical Associates, Inc (Murray, UT) and Patients Choice Providers Of Utah LLC (Pleasant Grove, UT). 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 Noelle Haines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Noelle Haines accept?

Health plans from Molina Healthcare and Select Health list Noelle Haines 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 Noelle Haines was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.