MS. HALEY MARIE MCCULLOUGH P.A.-C
NPI 1609331479
Physician Assistant - Medical in Delta, CO

Active since February 06, 2019PECOS EnrolledAccepts Medicare Assignment
296 STAFFORD LN, DELTA, CO 81416(970) 874-5777(970) 874-1631 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Aug 12, 2025, Sep 26, 2024 and 5 more (8 updates tracked since 2019).

About Ms. Haley Marie Mccullough P.a.-c NPPES

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

MS. HALEY MARIE MCCULLOUGH P.A.-C (NPI 1609331479) is an individual medical provider in Delta, Colorado, licensed in Colorado (PA.0006117) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609331479
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. HALEY MARIE MCCULLOUGHCredential: P.A.-C
Location Address296 STAFFORD LNDelta, CO 81416-2273
Mailing AddressPo Box 10100Delta, CO 81416-0008 · (970) 874-5777 · Fax (970) 874-1631
Fax(970) 874-1631
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 6, 2019
Last NPPES UpdateJune 5, 20268 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1609331479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0006117
296 STAFFORD LN, Delta, CO 81416

Secondary Practice Locations 2

Location 11450 Burgess StDelta, CO 81416-2849 · Phone (970) 874-7668
Location 2230 Hotchkiss AveHotchkiss, CO 81419-7608 · Phone (970) 872-1400

Other Identifiers 1

Medicaid9000250847CO

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

Ms. Haley Marie Mccullough P.a.-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 ID6204263593
PECOS Enrollment IDI20200226001692
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers26 claims26 services$114.36 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$17.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 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 20

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

Counselor (Professional)
296 STAFFORD LN
DELTA, CO 81416
Pediatrics
296 STAFFORD LN
DELTA, CO 81416
Family Medicine
296 STAFFORD LN
DELTA, CO 81416
Family Medicine
296 STAFFORD LN
DELTA, CO 81416
Orthopaedic Surgery
296 STAFFORD LN
DELTA, CO 81416
Pediatrics
296 STAFFORD LN
DELTA, CO 81416
Family Medicine
296 STAFFORD LN
DELTA, CO 81416
Nurse Practitioner (Family)
296 STAFFORD LN
DELTA, CO 81416

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 Mccullough's NPI number?

The NPI number for Haley Mccullough is 1609331479. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Haley Mccullough located?

Haley Mccullough practices at 296 Stafford Ln, Delta, CO 81416. The listed phone number is (970) 874-5777.

What is Haley Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Haley Mccullough enrolled in Medicare?

Yes. Haley Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Haley Mccullough was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.