HAYLEY C BURNHEIMER
NPI 1386451409
Nurse Practitioner - Pediatrics in Milford, DE

Active since December 12, 2024PECOS Enrolled
101 WELLNESS WAY, MILFORD, DE 19963(302) 503-7775 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hayley C Burnheimer NPPES

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

HAYLEY C BURNHEIMER (NPI 1386451409) is an individual pediatrics provider in Milford, Delaware, licensed in Delaware (LJ-0010492) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1386451409
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHAYLEY C BURNHEIMER
Location Address101 WELLNESS WAYMilford, DE 19963-4394
Mailing Address101 Wellness WayMilford, DE 19963-4394
Sole ProprietorNo
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1386451409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in DE · LJ-0010492
101 WELLNESS WAY, Milford, DE 19963

Secondary Practice Location 1

Location 11600 Rockland RdWilmington, DE 19803-3607 · Phone (800) 416-4441

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)

Hayley C Burnheimer 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 Reassignment

Medicare enrollment records show Hayley Burnheimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1600 ROCKLAND RD
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 526 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19963 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 12

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

Nurse Practitioner
101 WELLNESS WAY
MILFORD, DE 19963
Optometrist
101 WELLNESS WAY
MILFORD, DE 19963
Physician Assistant
101 WELLNESS WAY
MILFORD, DE 19963
Speech-Language Pathologist
101 WELLNESS WAY
MILFORD, DE 19963
Audiologist
101 WELLNESS WAY
MILFORD, DE 19963
Dietitian, Registered
101 WELLNESS WAY
MILFORD, DE 19963
Physician Assistant
101 WELLNESS WAY
MILFORD, DE 19963
Nurse Practitioner
101 WELLNESS WAY
MILFORD, DE 19963

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 Burnheimer's NPI number?

The NPI number for Hayley Burnheimer is 1386451409. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Hayley Burnheimer located?

Hayley Burnheimer practices at 101 Wellness Way, Milford, DE 19963. The listed phone number is (302) 503-7775.

What is Hayley Burnheimer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Hayley Burnheimer enrolled in Medicare?

Yes. Hayley Burnheimer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hayley Burnheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Burnheimer reassigns Medicare benefits to The Nemours Foundation (Wilmington, DE). The 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 Burnheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayley Burnheimer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Hayley Burnheimer 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 Burnheimer was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.