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HALEY ROSE RADEV
NPI 1801752209
Physician Assistant in Bourbonnais, IL

Active since December 29, 2025PECOS Enrolled
300 RIVERSIDE DR STE 2700, BOURBONNAIS, IL 60914(779) 701-2762 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Dec 29, 2025 (2 updates tracked since 2025).

About Haley Rose Radev NPPES

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

HALEY ROSE RADEV (NPI 1801752209) is an individual physician assistant in Bourbonnais, Illinois, licensed in Illinois (085011853) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801752209
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY ROSE RADEV
Location Address300 RIVERSIDE DR STE 2700Bourbonnais, IL 60914-5071
Mailing Address350 N Wall StKankakee, IL 60901-2901 · (815) 935-7347 · Fax (815) 936-6971
Phone(779) 701-2762
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 29, 2025
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1801752209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085011853
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 RIVERSIDE DR STE 2700, Bourbonnais, IL 60914
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Rose Radev is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567932163
PECOS Enrollment IDI20260526000057
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ALEC HAYES FISHER
Surgery (Plastic and Reconstructive Surgery)
300 RIVERSIDE DR STE 2700
BOURBONNAIS, IL 60914
Kankakee County (779) 701-2762

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 Radev's NPI number?

The NPI number for Haley Radev is 1801752209. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Haley Radev located?

Haley Radev practices at 300 Riverside Dr Ste 2700, Bourbonnais, IL 60914. The listed phone number is (779) 701-2762.

What is Haley Radev's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Radev enrolled in Medicare?

Yes. Haley Radev is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haley Radev was last updated on March 20, 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.