HAYLEY WHITE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235972480

HAYLEY WHITE (PMHNP) is a healthcare provider. based in Tyaskin, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. R229720 (MD). The NPI Number for HAYLEY WHITE (PMHNP) is 1235972480

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
HAYLEY WHITE (PMHNP)
NPI
1235972480
Phone
Not provided
Address
22306 CAPITOLA RD
Enumeration Date
17 June 2024
Last Update Date
23 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108313899
Graduation Year
2024 (2 years ago)
PAC ID
9032634555
Group Practice PAC ID
1153665161
Professional Enrollment ID
I20250417000599
Address ID
MD218171150CR609XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for HAYLEY WHITE (PMHNP)

  • 22306 CAPITOLA RD

    TYASKIN, MD 218652026

    Phone:

    Mailing address matches the actual address.

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: 2025-04-17

PECOS data refreshed: 2026-06-15

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
I20250417000599INurse PractitionerMDTBD

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 21865)

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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: 1153665161View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Nurse PractitionerDE
Nurse PractitionerDE
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

Can I use this page to confirm HAYLEY WHITE (PMHNP)'s NPI?
Yes. HAYLEY WHITE (PMHNP) is listed with NPI 1235972480 in the public NPI dataset.
Does CMS list HAYLEY WHITE (PMHNP) as active?
Yes — HAYLEY WHITE (PMHNP) is active in the NPI listing used on this page.
What taxonomy line describes HAYLEY WHITE (PMHNP)?
For research purposes, treat HAYLEY WHITE (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does HAYLEY WHITE (PMHNP) serve?
HAYLEY WHITE (PMHNP)'s listing highlights Tyaskin, Maryland; more addresses can appear in NPPES.
Is the information about HAYLEY WHITE (PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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