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MS. HEATHER NICOLE HALEY NP-BC
NPI 1891078499
Nurse Practitioner - Family in Springfield, MO

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807(417) 269-9812(417) 269-9853 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Heather Nicole Haley Np-bc NPPES

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

MS. HEATHER NICOLE HALEY NP-BC (NPI 1891078499) is an individual family provider in Springfield, Missouri, licensed in Missouri (2011020380) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891078499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. HEATHER NICOLE HALEYCredential: NP-BC
Location Address1000 E PRIMROSE STSpringfield, MO 65807-5154
Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 269-5712 · Fax (417) 269-7567
Phone(417) 269-9812
Fax(417) 269-9853
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 21, 2011
Last NPPES UpdateSeptember 19, 2018
✔ NPI 1891078499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2011020380
1000 E PRIMROSE ST, Springfield, MO 65807
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Oscar Insurance Company.Insurance ›

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

Ms. Heather Nicole Haley Np-bc 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 ID4587839758
PECOS Enrollment IDI20111216000336
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Heather Haley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lester E Cox Medical Centers
Same address
Maternal & Fetal Medicine
1000 E PRIMROSE ST, #360
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1578280483 (Missouri)
  • 457 clinicians in this Medicare group
NPI 1801837505 (417) 269-4037
Lester E Cox Medical Centers
0.9 mi
Family Medicine
1530 E REPUBLIC RD
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 107 clinicians in this Medicare group
NPI 1912452814 (417) 269-9060
Skaggs Community Hospital Association
32 mi
Urgent Care
1601 BRANSON HILLS PKWY STE 130
Branson, MO 65616
  • Reassigned Medicare billing, Missouri enrollment
  • 65 clinicians in this Medicare group
NPI 1487423109 (417) 988-8504
Cox-Monett Hospital, Inc.
37 mi
Urgent Care
2200 E CLEVELAND ST
Monett, MO 65708
  • Reassigned Medicare billing, Missouri enrollment
  • 44 clinicians in this Medicare group
NPI 1205387289 (417) 354-1570
Ssm Health Care St. Louis
175 mi
Emergency Medicine
500 MEDICAL DR
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1588618755 (636) 327-1117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 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.
294 services286 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
75 services75 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
46 services45 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
45 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
43 services43 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
38 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
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 20

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

ZANE TRANMER PA-C
Physician Assistant (Medical)
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807
Greene County (417) 269-6000
TAYLOR G HARRIS AA-C
Anesthesiologist Assistant
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
WILBUR WHEELOCK
Nurse Anesthetist, Certified Registered
1000 E PRIMROSE ST, SUITE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
CLIFFORD DEAN OSTEN
Nurse Anesthetist, Certified Registered
1000 E PRIMROSE ST, SUITE 520
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
DR. BRIAN D WILLIAMS MD
Family Medicine
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807
Greene County (417) 269-9812
DR. THOMAS M. SHULTZ M.D.
Obstetrics & Gynecology
1000 E PRIMROSE ST, SUITE 270
SPRINGFIELD, MO 65807
Greene County (417) 882-6900
ERIN RENEE LOUTZENHISER M.D.
Family Medicine
1000 E PRIMROSE ST, STE 170
SPRINGFIELD, MO 65807
Greene County (417) 269-9812
DR. DOUGLASS D. COLLINS MD
Pediatrics
1000 E PRIMROSE ST, SUITE 560
SPRINGFIELD, MO 65807
Greene County (417) 882-9747

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 Heather Haley's NPI number?

The NPI number for Heather Haley is 1891078499. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Heather Haley located?

Heather Haley practices at 1000 E Primrose St, Springfield, MO 65807. The listed phone number is (417) 269-9812.

What is Heather Haley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Haley enrolled in Medicare?

Yes. Heather Haley 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 Heather Haley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Haley reassigns Medicare benefits to 5 organizations: Lester E Cox Medical Centers (Springfield, MO), Lester E Cox Medical Centers (Springfield, MO), Skaggs Community Hospital Association (Branson, MO), Cox-Monett Hospital, Inc. (Monett, MO) and Ssm Health Care St. Louis (Wentzville, MO). 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 Heather Haley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Haley accept?

Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans and Oscar Insurance Company list Heather Haley 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.

Is Heather Haley affiliated with any hospitals?

According to CMS data, Heather Haley is affiliated with Cox Medical Centers.

When was this NPI record last updated?

The NPPES record for Heather Haley was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.