HALEY GLICKMAN – Family Nurse Practitioner, NPI 1043600190

HALEY GLICKMAN is a healthcare provider. based in Elmhurst, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209012191 (IL). The NPI Number for HALEY GLICKMAN is 1043600190

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
HALEY GLICKMAN
NPI
1043600190
Phone
Not provided
Address
155 E BRUSH HILL RD
Enumeration Date
28 January 2015
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8473982777
Graduation Year
2014 (12 years ago)
PAC ID
0345569661
Group Practice PAC ID
3375737331
Professional Enrollment ID
I20150507000706

Contacts

Secure Messaging
hglickman117414@direct.nch.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

Provider Addresses for HALEY GLICKMAN

  • 155 E BRUSH HILL RD

    ELMHURST, IL 601265658

    Phone:

    Type: Mailing

  • 800 W CENTRAL RD

    ARLINGTON HEIGHTS, IL 600052349

    Phone: (847) 618-5879

    Fax: (847) 618-7609

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-05-07

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
I20150507000706INurse PractitionerILTBD

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 60126)

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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: 3375737331View full group profile

Reviews

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Frequently asked questions

How do payers reference HALEY GLICKMAN?
For HALEY GLICKMAN, use NPI 1043600190 as the unique 10-digit identifier.
Is HALEY GLICKMAN still an active registrant?
HALEY GLICKMAN carries an active NPI according to the public dataset.
What kind of doctor is HALEY GLICKMAN?
HALEY GLICKMAN is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with HALEY GLICKMAN?
Directory geography for HALEY GLICKMAN centers on Elmhurst, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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