AMY NICOLE HALOM ARNP
NPI 1912728049
Nurse Practitioner in Tacoma, WA

Q: What is Amy Halom's NPI number?

The NPI number for Amy Halom is 1912728049. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Q: What is Amy Halom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Halom was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 22, 2024PECOS EnrolledAccepts Medicare Assignment

3209 S 23RD ST STE 200, TACOMA, WA 98405(253) 272-5127 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amy Nicole Halom Arnp NPPES

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

AMY NICOLE HALOM ARNP (NPI 1912728049) is an individual nurse practitioner in Tacoma, Washington, licensed in Washington (AP61519730) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912728049

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMY NICOLE HALOMCredential: ARNP

Location Address3209 S 23RD ST STE 200Tacoma, WA 98405-1602

Mailing Address1004 E 64th StTacoma, WA 98404-2427 · (253) 227-2221

Phone(253) 272-5127

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 22, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1912728049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61519730

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License AP61519730 (WA)

3209 S 23RD ST STE 200, Tacoma, WA 98405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Amy Nicole Halom Arnp 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 ID4587197124

PECOS Enrollment IDI20241104002883

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.

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 5

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

MR. CHARLES E JOSHLIN CRNA

Nurse Anesthetist, Certified Registered