TRACEY ANN HAENER (NP ANP-BC.) – Adult Health Nurse Practitioner, NPI 1295709103

TRACEY ANN HAENER (NP ANP-BC.) is a healthcare provider. based in Walled lake, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP ANP-BC.. They hold a License No. 4704187472 (MI). The NPI Number for TRACEY ANN HAENER (NP ANP-BC.) is 1295709103

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY ANN HAENER (NP ANP-BC.)
NPI
1295709103
Phone
(248) 332-8404
Address
P.O. BOX 69
Enumeration Date
15 February 2006
Last Update Date
20 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484785512
Graduation Year
1999 (27 years ago)
PAC ID
2264475573
Group Practice PAC ID
6406827260
Professional Enrollment ID
I20050608000115
Address ID
MI483345011FA27555RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for TRACEY ANN HAENER (NP ANP-BC.)

  • 69, The Walled Garden, Walled Garden, Bostock, Middlewich, Cheshire West and Chester, North West England, England, CW10 9JN, United Kingdom

    WALLED LAKE, MI 48309

    Phone: (248) 332-8404

    Fax: (248) 332-0952

    Type: Mailing

  • Woodward Avenue, Bloomfield Hills, Oakland County, Michigan, 48304, United States

    SUITE 103

    BLOOMFIELD HILLS, MI 48302

    Phone: (248) 332-8404

    Fax: (248) 332-8404

    Type: Location

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: 2005-06-08

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
I20050608000115INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes120109$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5858$0
View full utilization report →

Insurance plans in this area (ZIP 48309)

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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: 6406827260View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Nurse PractitionerMI
N E U R O L O G YMI
Nurse PractitionerMI
N E U R O L O G YMI
N E U R O L O G YMI
N E U R O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
N E U R O L O G YMI

Reviews

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Frequently asked questions

How is TRACEY ANN HAENER (NP ANP-BC.) identified in CMS data?
CMS-hosted NPPES data lists TRACEY ANN HAENER (NP ANP-BC.) with NPI 1295709103.
Can I rely on TRACEY ANN HAENER (NP ANP-BC.) being an active provider?
As of the registry snapshot, TRACEY ANN HAENER (NP ANP-BC.) is marked active.
What is TRACEY ANN HAENER (NP ANP-BC.)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for TRACEY ANN HAENER (NP ANP-BC.) here. Clinical services aligned with this taxonomy classification.
Where is TRACEY ANN HAENER (NP ANP-BC.) based?
TRACEY ANN HAENER (NP ANP-BC.) is tied to Walled Lake, Michigan in the data we show; additional addresses may exist on the full record.
Why does TRACEY ANN HAENER (NP ANP-BC.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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