THERESA ANNE HALEY FNP-C
NPI 1609398650
Nurse Practitioner - Family in Phoenix, AZ
NPI Status: Active since July 12, 2017
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About THERESA HALEY
This page provides the complete NPI Profile along with additional information for Theresa Haley, a provider established in Phoenix, Arizona with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1609398650 assigned on July 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 218433 (AZ). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1609398650
- Provider Name
- THERESA ANNE HALEY FNP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4212 N 16TH ST PHOENIX, AZ 85016
- Location Phone
- (602) 263-1200
- Mailing Address
- P O BOX 31001-0698 PASADENA, CA 91110
- Mailing Phone
- (602) 263-1200
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2017
- Last Update Date
- 06-04-2019
- Code Navigator
A nurse practitioner (NP) like Theresa Haley is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 1700 Coffee Rd
Modesto, CA 95355
(209) 526-4500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 218433
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
- Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
- Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
- Blue EverydayHealth Gold - MaricopaFocus Network - HMO
- Blue EverydayHealth Silver - MaricopaFocus Network - HMO
- Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - MaricopaFocus Network - HMO
- Blue StandardHealth Gold - MaricopaFocus Network - HMO
- Blue StandardHealth Silver - MaricopaFocus Network - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Theresa Haley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 20 times for 20 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 23 times for 23 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85016 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $24.5
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for THERESA ANNE HALEY FNP-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 9 | 8 | 6 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 9 | 16 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 9 + 1 + 6 + 6 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1609398650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073515326 | MR. KAI L CHIU RPH Individual | Pharmacist | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1511 |
| 1811993603 | MS. KAREN L ALLEN RN/CNM Individual | Nurse Practitioner (Obstetrics & Gynecology) | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1285629196 | ANN LOUISE GORMAN PHARMD RPH Individual | Pharmacist | 4212 N 16TH ST PHARMACY PHOENIX, AZ 85016 (602) 263-1664 |
| 1194708396 | MR. JAMES M BENNETT M.D. Individual | Family Medicine | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1427036847 | MS. SUSAN BONFIGLIO PA-C Individual | Physician Assistant (Medical) | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 200-5325 |
| 1730167065 | DR. PAUL R BLOOMQUIST MD Individual | Family Medicine | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1511 |
| 1043280902 | DAVID BARRETT COLLIER DDS Individual | Dentist (General Practice) | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1205807005 | KORI L SINGLETON MD Individual | Family Medicine | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1609840495 | DR. SHARYN HEALY OD Individual | Optometrist | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1386619062 | DR. KEVIN KOLENDA OD Individual | Optometrist | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1841253036 | DR. HERMAN ALLEN DOBBS III MD Individual | Family Medicine | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 768-8003 |
| 1235193327 | BARBARA K. MCLAURIN M.D. Individual | Emergency Medicine | 4212 N 16TH ST EMERGENCY DEPARTMENT PHOENIX, AZ 85016 (602) 263-1200 |
| 1487619607 | DR. ADAM L PRAWZINSKY M.D. Individual | Otolaryngology | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1639135296 | DR. MARIEL STROSCHEIN M.D. Individual | Otolaryngology | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1033167168 | ANN MARIE DOLL CNM Individual | Nurse Practitioner (Obstetrics & Gynecology) | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1730135724 | JULIE M FANGER MSCCCA Individual | Audiologist | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1511 |
| 1780623363 | DR. ROBERT ALLEN GREENBERGER MD Individual | Anesthesiology | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1154364214 | JAMES O POSEVER MD Individual | Internal Medicine (Rheumatology) | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 |
| 1073549960 | JANE N WILSON CNM Individual | Advanced Practice Midwife | 4212 N 16TH ST OB/GYN DEPARTMENT PHOENIX, AZ 85016 (602) 263-1200 |
| 1417970161 | DR. DANIEL J HUBER DMD Individual | Dentist (Dental Public Health) | 4212 N 16TH ST DENTAL PHOENIX, AZ 85016 (602) 263-1592 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609398650, enumerated in the NPI registry as an "individual" on July 12, 2017
The provider is located at 4212 N 16th St Phoenix, Az 85016 and the phone number is (602) 263-1200
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $98 and an average copayment of 24.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.
This NPI record was last updated on July 12, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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