DR. HALEY MARIE WILD DO
NPI 1497495790
Obstetrics & Gynecology in Grand Rapids, MI
About Dr. Haley Marie Wild Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HALEY MARIE WILD DO (NPI 1497495790) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (5151015555) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
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)
Dr. Haley Marie Wild Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Haley Wild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 26 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 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Haley Wild's NPI number?
The NPI number for Haley Wild is 1497495790. It was assigned to this individual provider in the NPPES registry on April 1, 2022.
Where is Haley Wild located?
Haley Wild practices at 330 Barclay Ave NE Ste 304, Grand Rapids, MI 49503. The listed phone number is (616) 391-2160.
What is Haley Wild's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Haley Wild enrolled in Medicare?
Yes. Haley Wild is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Haley Wild's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Wild reassigns Medicare benefits to Grand Rapids Womens Health PC (Grand Rapids, MI). 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 Haley Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Wild accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Haley Wild 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 Haley Wild was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Haley Marie Wild, DO · NPI 1497495790
Obstetrics & Gynecology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1497495790 (Entity type: Individual)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 5151015555 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BARCLAY AVE NE STE 304, Grand Rapids, MI 49503-2527
- **Phone:** (616) 391-2160 · **Fax:** (616) 391-2683
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Grand Rapids Womens Health PC (NPI 1467545319, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** June 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497495790) · Data from the CMS NPPES public registry.