JOHN HALEY
NPI 1831645423
Student in an Organized Health Care Education/Training Program in Columbus, OH
About John Haley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN HALEY (NPI 1831645423) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since September 2016.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Haley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Haley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sun Prairie, WI 53590
- Reassigned Medicare billing, Wisconsin enrollment
- 3 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.
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 John Haley's NPI number?
The NPI number for John Haley is 1831645423. It was assigned to this individual provider in the NPPES registry on September 1, 2016.
Where is John Haley located?
John Haley practices at 4126 Kenridge Dr, Columbus, OH 43220. The listed phone number is (614) 315-7480.
What is John Haley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Haley enrolled in Medicare?
Yes. John Haley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Haley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Haley reassigns Medicare benefits to Chiro One Wellness Center Of Sun Prairie LLC (Sun Prairie, WI). 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 John Haley'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 John Haley was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# John Haley · NPI 1831645423
Student in an Organized Health Care Education/Training Program provider in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since September 1, 2016.
## Identity
- **NPI:** 1831645423 (Entity type: Individual)
- **Enumerated:** September 1, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4126 KENRIDGE DR, Columbus, OH 43220-4152
- **Phone:** (614) 315-7480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Chiro One Wellness Center Of Sun Prairie LLC (NPI 1124740246, Sun Prairie, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1831645423) · Data from the CMS NPPES public registry.