MS. HALEY MARIE MCCULLOUGH (P.A.-C) – Medical Physician Assistant, NPI 1609331479
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MS. HALEY MARIE MCCULLOUGH (P.A.-C)
2511, South Vrain Street, Harvey Park, Denver, Denver County, Colorado, 80219, United States
DENVER, CO 802195642
Phone: (970) 275-4660
Type: Mailing
296 STAFFORD LANE, SUITE A
DELTA, CO 814162282
Phone: (970) 874-5777
Fax: (970) 874-1631
Type: Location
70 STAFFORD LN # NA
DELTA, CO 814162282
Phone: (970) 874-5777
Fax: (970) 874-1631
Type: Location
PO BOX 10100
DELTA, CO 814160008
Phone: (970) 874-5777
Fax: (970) 874-1631
Type: Mailing
296 STAFFORD LN
DELTA, CO 814162273
Phone: (970) 874-5777
Fax: (970) 874-1631
Type: Location
1450 Burgess St
Delta, CO 814162849
Phone: (970) 874-7668
Type: Location
230 Hotchkiss Ave
Hotchkiss, CO 814197608
Phone: (970) 872-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $500.
Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($271).
Total Amount
$500
General + Research + Ownership
Payments
29
Total payment records
General Amount
$500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $271 |
| PFIZER INC. | $71 |
| GlaxoSmithKline, LLC. | $69 |
| Exact Sciences Corporation | $40 |
| Lilly USA, LLC | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200226001692 | I | Physician Assistant | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80219)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Orthopedic Surgery | CO | |
| - | CO | |
| Mental Health Counselor | CO | |
| General Surgery | HI | |
| - | CO | |
| Diagnostic Radiology | AZ | |
| General Surgery | CO | |
| - | CO | |
| - | CO |
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