Haley Anne Phelps, PA-C
Physician Assistant in El Dorado Hills, CA. Individual provider (NPI-1).
NPI number1235594151
StatusActive
Last updated in NPPESMar 14, 2020
Details
- NPI
- 1235594151
- Entity type
- Individual (NPI-1)
- Name
- Miss Haley Anne Phelps
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2015
- Certification date
- Mar 14, 2020
- Last updated
- Mar 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 52951 | CA | Yes |
Practice location
1200 Suncast Ln Ste 5El Dorado Hills, CA 95762-9664
Phone 916-939-3889
Mailing address
1200 Suncast Ln Ste 5El Dorado Hills, CA 95762-9664
Phone 916-939-3889
Other practice locations
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Physician Assistant providers in El Dorado Hills · All 1,303 providers in El Dorado Hills
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