HALEY L HILLYARD NP
NPI 1972103505
Nurse Practitioner - Family in Lancaster, OH

Active since November 01, 2020PECOS EnrolledAccepts Medicare Assignment
1319 E MAIN ST, LANCASTER, OH 43130(740) 808-8039(740) 888-3362 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Jan 22, 2022 (2 updates tracked since 2022).

About Haley L Hillyard Np NPPES

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

HALEY L HILLYARD NP (NPI 1972103505) is an individual family provider in Lancaster, Ohio, licensed in Ohio (APRN.CNP.0030537) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1972103505
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY L HILLYARDCredential: NP
Location Address1319 E MAIN STLancaster, OH 43130-4005
Mailing Address282 Sells RdLancaster, OH 43130-3461 · (740) 654-7077
Fax(740) 888-3362
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 1, 2020
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1972103505 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 OH · APRN.CNP.0030537
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.391922 (OH)
1319 E MAIN ST, Lancaster, OH 43130

Other Names 1

Former Name (1)Haley L Warthman Cnp

Secondary Practice Location 1

Location 1282 Sells RdLancaster, OH 43130-3461 · Phone (740) 654-7077

Accepted 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

Haley L Hillyard Np 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 ID7810383999
PECOS Enrollment IDI20220330001699
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.

Areas of Expertise CMS Part B claims 8

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
47 services18 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
27 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services21 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

Obstetrics & Gynecology
1319 E MAIN ST
LANCASTER, OH 43130
Internal Medicine (Addiction Medicine)
1319 E MAIN ST
LANCASTER, OH 43130
Obstetrics & Gynecology
1319 E MAIN ST
LANCASTER, OH 43130
Clinical Medical Laboratory
1319 E MAIN ST
LANCASTER, OH 43130
Obstetrics & Gynecology
1319 E MAIN ST
LANCASTER, OH 43130
Obstetrics & Gynecology
1319 E MAIN ST
LANCASTER, PA 43130

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 Hillyard's NPI number?

The NPI number for Haley Hillyard is 1972103505. It was assigned to this individual provider in the NPPES registry on November 1, 2020. The provider is also known as Haley L Warthman Cnp.

Where is Haley Hillyard located?

Haley Hillyard practices at 1319 E Main St, Lancaster, OH 43130. The listed phone number is (740) 808-8039.

What is Haley Hillyard's specialty?

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

Is Haley Hillyard enrolled in Medicare?

Yes. Haley Hillyard 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.

What insurance does Haley Hillyard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Haley Hillyard 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 Haley Hillyard affiliated with any hospitals?

According to CMS data, Haley Hillyard is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Haley Hillyard was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.