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Haley Bolen, CRNP

NPI 1104416486ActiveIndividual· Nurse Practitioner, Family· Northport, AL

Nurse Practitioner, Family (CRNP) in Northport, Alabama, licensed in AL, with an NPI issued in January 2021. 44 Medicare patients in 2024, $2,738 paid; nearly all of their 102 Part D prescriptions were generic (97%).

Overview

NPI1104416486
StatusActive
Entity typeIndividual
CredentialCRNP
Sole proprietorNo
NPI issuedJan 21, 2021
Last updated in NPPESJan 21, 2021
Certified by providerJan 21, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X1-145272AL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (AL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients44
Services billed48 across 11 procedure codes
Paid by Medicare$2,738

Part D prescriptions in 2024

Prescriptions (claims)102 · 106 30-day fills
Patients77
Total drug cost$717.36
Generic share97% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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