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MS. HAYLEY RAE VANDENBERG PA
NPI 1730602376
Physician Assistant - Surgical in San Francisco, CA

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
1600 DIVISADERO ST, SAN FRANCISCO, CA 94143(415) 353-4201 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Nov 15, 2024, Jul 15, 2020 and 2 more (5 updates tracked since 2017).

About Ms. Hayley Rae Vandenberg Pa NPPES

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

MS. HAYLEY RAE VANDENBERG PA (NPI 1730602376) is an individual surgical provider in San Francisco, California, licensed in California (PA57700) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Florida College Of Medicine (2017).

NPPES Registry Identity

NPI1730602376
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. HAYLEY RAE VANDENBERGCredential: PA
Location Address1600 DIVISADERO STSan Francisco, CA 94143-3010
Mailing Address1600 Divisadero StSan Francisco, CA 94143-3010
Phone(415) 353-4201
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2017
Enumeration DateJuly 25, 2017
Last NPPES UpdateAugust 25, 20255 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1730602376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA57700
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA18331 (TX)
1600 DIVISADERO ST, San Francisco, CA 94143
Open in Google Maps ↗

Other Names 1

Former Name (1)Hayley Rae Johnson

Secondary Practice Location 1

Location 1608 Radam LnAustin, TX 78745-1172 · Phone (512) 443-5988 · Fax (512) 443-5055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Moda Health Plan, Inc., WellPoint.Insurance ›

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. Hayley Rae Vandenberg Pa 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 ID2668746884
PECOS Enrollment IDI20200619001470
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services62 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
45 services35 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
16 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

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.

MERLIN D LARSON MD
Anesthesiology
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 885-7412
DEVIN ARTHUR OLLER MD
Internal Medicine
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-7900
MELANIE I. ZUK-MOYA PTA
Physical Therapy Assistant
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
San Francisco County (646) 770-6621
HWA SOO HOANG MD
Psychiatry & Neurology (Psychiatry)
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
MEGHAN JAIRAM MD
Radiology (Diagnostic Radiology)
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 885-7464
NAOMI JAY NP
Nurse Practitioner
1600 DIVISADERO ST, 4TH FLOOR
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-7443
MEGAN SWANSON M.D.
Obstetrics & Gynecology
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 206-4069
NIKI LOVICK LCGC
Genetic Counselor, MS
1600 DIVISADERO ST, 4TH FLOOR BOX 1774
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-8778

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 Hayley Vandenberg's NPI number?

The NPI number for Hayley Vandenberg is 1730602376. It was assigned to this individual provider in the NPPES registry on July 25, 2017. The provider is also known as Hayley Rae Johnson.

Where is Hayley Vandenberg located?

Hayley Vandenberg practices at 1600 Divisadero St, San Francisco, CA 94143. The listed phone number is (415) 353-4201.

What is Hayley Vandenberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Hayley Vandenberg enrolled in Medicare?

Yes. Hayley Vandenberg 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.

What insurance does Hayley Vandenberg accept?

Health plans from AvMed, Moda Health Plan, Inc. and WellPoint list Hayley Vandenberg 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 Hayley Vandenberg was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.