JACK M. HALEY
NPI 1477529519
Physician Assistant in Loveland, CO

Q: What is Jack Haley's NPI number?

The NPI number for Jack Haley is 1477529519. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Jack M. Haley PA.

Q: What is Jack Haley'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 Jack Haley was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 28, 2006PECOS Enrolled

2000 N. BOISE AVE., LOVELAND, CO 80538(970) 635-4071(303) 306-7753 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack M. Haley NPPES

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

JACK M. HALEY (NPI 1477529519) is an individual physician assistant in Loveland, Colorado, licensed in Colorado (PA.000735) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477529519

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACK M. HALEY

Location Address2000 N. BOISE AVE.Loveland, CO 80538-7282

Mailing AddressP.o. Box 173817Denver, CO 80217-8643 · (303) 306-7783 · Fax (303) 306-7753

Phone(970) 635-4071

Fax(303) 306-7753

Sole ProprietorNo

Enumeration DateFebruary 28, 2006

Last NPPES UpdateJuly 31, 2015

✔ NPI 1477529519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CO · PA.000735✔ Licensed in CO · 735

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.

2000 N. BOISE AVE., Loveland, CO 80538

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Other Names 1

Professional Name (2)Jack M. Haley Pa

Other Identifiers 4

OtherP01331724CO · Railroad Medicare

Medicare UPINS55124CO

Medicare PIN349413YL4CCO

Medicaid55625029CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack M. Haley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$119.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

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