MS. HALEY MARIE MCCULLOUGH (P.A.-C) – Medical Physician Assistant, NPI 1609331479

MS. HALEY MARIE MCCULLOUGH (P.A.-C) is a healthcare provider. based in Denver, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA.0006117 (CO). The NPI Number for MS. HALEY MARIE MCCULLOUGH (P.A.-C) is 1609331479

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. HALEY MARIE MCCULLOUGH (P.A.-C)
NPI
1609331479
Phone
(970) 275-4660
Address
2511 S VRAIN ST
Enumeration Date
6 February 2019
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9703992635
Graduation Year
2019 (7 years ago)
PAC ID
6204263593
Group Practice PAC ID
1850200601
Professional Enrollment ID
I20200226001692
Address ID
CO814162243DE296XXLNXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200226001692IPhysician AssistantCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850200601View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MS. HALEY MARIE MCCULLOUGH (P.A.-C) for billing?
Administrative and clinical systems typically use NPI 1609331479 for MS. HALEY MARIE MCCULLOUGH (P.A.-C).
Should I treat MS. HALEY MARIE MCCULLOUGH (P.A.-C) as an active provider?
Patients and plans typically see MS. HALEY MARIE MCCULLOUGH (P.A.-C) as active in the national extract.
Which specialty label fits MS. HALEY MARIE MCCULLOUGH (P.A.-C)?
NPPES ties MS. HALEY MARIE MCCULLOUGH (P.A.-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MS. HALEY MARIE MCCULLOUGH (P.A.-C)?
The directory associates MS. HALEY MARIE MCCULLOUGH (P.A.-C) with Denver, Colorado. Check all listed addresses for suites or satellite offices.
Can I export MS. HALEY MARIE MCCULLOUGH (P.A.-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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