MRS. HALEY RANAE GOULSON PA-C
NPI 1417283938
Physician Assistant in Dekalb, IL

Q: What is Haley Goulson's NPI number?

The NPI number for Haley Goulson is 1417283938. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Q: What is Haley Goulson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Haley Goulson was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 19, 2009PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

10 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-5255(815) 756-9944 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2021, Feb 8, 2017 (2 updates tracked since 2017).

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About Mrs. Haley Ranae Goulson Pa-c NPPES

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

MRS. HALEY RANAE GOULSON PA-C (NPI 1417283938) is an individual physician assistant in Dekalb, Illinois, licensed in Illinois (085.003590) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417283938

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. HALEY RANAE GOULSONCredential: PA-C

Location Address10 HEALTH SERVICES DRDekalb, IL 60115-9600

Mailing Address10 Health Services DrDekalb, IL 60115-9600 · (815) 756-5255 · Fax (815) 756-9944

Phone(815) 756-5255

Fax(815) 756-9944

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 19, 2009

Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1417283938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.003590

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10 HEALTH SERVICES DR, Dekalb, IL 60115

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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

Mrs. Haley Ranae Goulson Pa-c 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 ID6709015571

PECOS Enrollment IDI20140128001140

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.

Areas of Expertise CMS Part B claims 7

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.

228 services139 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

115 services81 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

114 services70 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

53 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services24 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

31 services26 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140286

LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County

Emergency services Birthing friendly

Valley West Community Hospital

Critical Access Hospitals · Sandwich, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141340

Location1301 North Main StreetSandwich, IL 60548 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

CARRIE A FEID APN, CNP

Nurse Practitioner