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Kelsey Marie Haley

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as KELSEY HALEY.

Based on the most recent information from CMS, provider Kelsey Marie Haley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1649896853
Provider Type
Individual
Full Name
Haley, Kelsey Marie
Title
Mrs.
Credential
APRN MSN FNP-BC OCN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/23/2020
Last Updated
3/21/2024

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Mailing Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP145717 Texas
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 777135 Texas
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11013851 Florida

Provider Identifiers

ID	Description	Issuer
ID AP145717	Description Other	Issuer TX BON Texas
ID APRN11013851	Description Other	Issuer FL BON Florida

Kelsey Marie Haley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Nevels, Catherine R

Gomez, Margarita

Barley, Elizabeth

Bailey, Shelby Jo

Baxter, Ashley

Drouin, Emily Kristine

Hopkins, Angela

Contreras, Hersy Eva

Fernandez, Rachel Louise

Bally, Stephanie