MRS. CHANAE JOI HAYLOCK PMHNP
NPI 1609588979
Nurse Practitioner - Psychiatric/Mental Health in Elk Grove, CA
About Mrs. Chanae Joi Haylock Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHANAE JOI HAYLOCK PMHNP (NPI 1609588979) is an individual psychiatric/mental health provider in Elk Grove, California, licensed in California (95024542) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elk Grove, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Chanae Joi Haylock Pmhnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Chanae Joi Haylock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elk Grove, CA 95758
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mark David Levine MD Professional Corporation
- 329 clinicians in this Medicare group
Gustine, CA 95322
- Reassigned Medicare billing, California enrollment
- 179 clinicians in this Medicare group
Carlsbad, CA 92008
- Reassigned Medicare billing, California enrollment
- 223 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 95624 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELK GROVE, CA 95624
ELK GROVE, CA 95624
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 Chanae Joi Haylock's NPI number?
The NPI number for Chanae Joi Haylock is 1609588979. It was assigned to this individual provider in the NPPES registry on December 19, 2022. The provider is also known as Mrs. Joi Haylock Pmhnp.
Where is Chanae Joi Haylock located?
Chanae Joi Haylock practices at 9381 E Stockton Blvd Ste 204, Elk Grove, CA 95624. The listed phone number is (855) 501-1004.
What is Chanae Joi Haylock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Chanae Joi Haylock enrolled in Medicare?
Yes. Chanae Joi Haylock 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.
Which organizations bill Medicare for Chanae Joi Haylock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chanae Joi Haylock reassigns Medicare benefits to 3 organizations: Mark David Levine, Elk Grove, Professional Corportation (Elk Grove, CA), Community Health Centers Of America (Gustine, CA) and Memory Check Psychological Services, A Professional Corporation (Carlsbad, CA). Each 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 Chanae Joi Haylock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chanae Joi Haylock was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Chanae Joi Haylock, PMHNP · NPI 1609588979
Psychiatric/Mental Health physician in Elk Grove, California. Individual provider, active in the CMS NPPES registry since December 19, 2022.
## Identity
- **NPI:** 1609588979 (Entity type: Individual)
- **Enumerated:** December 19, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95024542 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9381 E STOCKTON BLVD STE 204, Elk Grove, CA 95624-5070
- **Phone:** (855) 501-1004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mark David Levine, Elk Grove, Professional Corportation (NPI 1942510417, Elk Grove, CA); Community Health Centers Of America (NPI 1245105733, Gustine, CA); Memory Check Psychological Services, A Professional Corporation (NPI 1912184219, Carlsbad, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609588979) · Data from the CMS NPPES public registry.