HALEY L MIFFLIN FNP
NPI 1639885791
Nurse Practitioner - Family in Martinsville, IN
About Haley L Mifflin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEY L MIFFLIN FNP (NPI 1639885791) is an individual family provider in Martinsville, Indiana, licensed in Indiana (71013458A) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Haley L Mifflin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Haley Mifflin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 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 46151 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mifflin's NPI number?
The NPI number for Haley Mifflin is 1639885791. It was assigned to this individual provider in the NPPES registry on January 23, 2023.
Where is Haley Mifflin located?
Haley Mifflin practices at 293 Grand Valley Blvd, Martinsville, IN 46151. The listed phone number is (765) 516-6600.
What is Haley Mifflin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Haley Mifflin enrolled in Medicare?
Yes. Haley Mifflin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Haley Mifflin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Mifflin reassigns Medicare benefits to Fast Pace Medical Clinic PLLC (Hanover, IN). 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 Mifflin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Mifflin accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Haley Mifflin 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 Mifflin was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Haley L Mifflin, FNP · NPI 1639885791
Family physician in Martinsville, Indiana. Individual provider, active in the CMS NPPES registry since January 23, 2023.
## Identity
- **NPI:** 1639885791 (Entity type: Individual)
- **Enumerated:** January 23, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71013458A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 293 GRAND VALLEY BLVD, Martinsville, IN 46151-6910
- **Phone:** (765) 516-6600
## 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:** Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1639885791) · Data from the CMS NPPES public registry.