MARDEA HALLEY PMHNP-BC
NPI 1437026465
Nurse Practitioner - Psychiatric/Mental Health in Cranston, RI

Q: What is Mardea Halley's NPI number?

The NPI number for Mardea Halley is 1437026465. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Q: What is Mardea Halley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mardea Halley was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 23, 2025PECOS Enrolled

1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920(401) 259-0340(401) 213-8538 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mardea Halley Pmhnp-bc NPPES

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

MARDEA HALLEY PMHNP-BC (NPI 1437026465) is an individual psychiatric/mental health provider in Cranston, Rhode Island, licensed in Rhode Island (APRN04817) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1437026465

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARDEA HALLEYCredential: PMHNP-BC

Location Address1150 RESERVOIR AVE STE 203Cranston, RI 02920-6032

Mailing Address1150 Reservoir Ave Ste 203Cranston, RI 02920-6032 · (401) 259-0340

Phone(401) 259-0340

Fax(401) 213-8538

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 23, 2025

Last NPPES UpdateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1437026465 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 RI · APRN04817

1150 RESERVOIR AVE STE 203, Cranston, RI 02920

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mardea Halley Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214404102

PECOS Enrollment IDI20260429000083

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

REBECCA STEVENSON APRN

Nurse Practitioner (Psychiatric/Mental Health)