HALEIGH N GROOMES – Family Nurse Practitioner, NPI 1255170478

HALEIGH N GROOMES is a healthcare provider. based in Algonac, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704343085 (MI). The NPI Number for HALEIGH N GROOMES is 1255170478

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
HALEIGH N GROOMES
NPI
1255170478
Phone
(586) 295-9088
Address
555 SAINT CLAIR RIVER DR
Enumeration Date
20 May 2024
Last Update Date
31 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5862624277
Graduation Year
2023 (3 years ago)
PAC ID
7618414244
Group Practice PAC ID
5092077586
Professional Enrollment ID
I20240801000084
Address ID
MI483131142ST43722RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for HALEIGH N GROOMES

  • 555 SAINT CLAIR RIVER DR

    ALGONAC, MI 480011802

    Phone: (586) 295-9088

    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: 2024-08-01

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
I20240801000084INurse PractitionerMITBD

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 48001)

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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: 5092077586View full group profile
NameSpecialtyState
Physician AssistantIL
-MI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

What unique ID ties claims to HALEIGH N GROOMES?
NPI 1255170478 is assigned to HALEIGH N GROOMES under the national enumeration system.
Is HALEIGH N GROOMES currently active in the NPI registry?
CMS-published data lists HALEIGH N GROOMES as an active registrant.
Can you summarize HALEIGH N GROOMES's specialty in plain language?
Clinically, the directory lists HALEIGH N GROOMES with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place HALEIGH N GROOMES?
The snapshot lists Algonac, Michigan for HALEIGH N GROOMES; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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