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HALEY M DIETZMAN
NPI 1962753343
Nurse Practitioner - Family in Phoenix, AZ

Active since September 26, 2012PECOS Enrolled
2120 N CENTRAL AVE, PHOENIX, AZ 85004(602) 933-6100(602) 933-2422 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2018, Mar 23, 2018, Dec 7, 2015 (3 updates tracked since 2015).

About Haley M Dietzman NPPES

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

HALEY M DIETZMAN (NPI 1962753343) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8306) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962753343
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY M DIETZMAN
Location Address2120 N CENTRAL AVEPhoenix, AZ 85004
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814
Phone(602) 933-6100
Fax(602) 933-2422
Sole ProprietorNo
Enumeration DateSeptember 26, 2012
Last NPPES UpdateJune 27, 20183 updates tracked since enumeration
✔ NPI 1962753343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP8306
Also ListedRegistered NurseTaxonomy 163W00000X · License RN 60220812 (WA)
2120 N CENTRAL AVE, Phoenix, AZ 85004
Open in Google Maps ↗

Other Names 1

Former Name (1)Haley A Mcgoldrick

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 M Dietzman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 12

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

ERICA CARBERRY MA LAC
Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
MR. CHRISTOPHER KECK LAC
Counselor
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
MARIA CRISTINA DEL ROSARIO ALDANA SIERRA M.D.
Pediatrics (Child Abuse Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (029) 336-6100
CHILDHELP, INC.
Community/Behavioral Health
2120 N CENTRAL AVE, SUITE 130
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
KIM A YEAKEL PNP
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 933-6100
LORA COGLIANI LAC
Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 271-4500
KELLY DIANA DECKARD FNP
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 933-6100
MS. CYNTHIA A NELSON PNP
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 933-6100

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 Dietzman's NPI number?

The NPI number for Haley Dietzman is 1962753343. It was assigned to this individual provider in the NPPES registry on September 26, 2012. The provider is also known as Haley A Mcgoldrick.

Where is Haley Dietzman located?

Haley Dietzman practices at 2120 N Central Ave, Phoenix, AZ 85004. The listed phone number is (602) 933-6100.

What is Haley Dietzman's specialty?

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

Is Haley Dietzman enrolled in Medicare?

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

What insurance does Haley Dietzman accept?

Health plans from Medica list Haley Dietzman 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 Haley Dietzman was last updated on June 27, 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.