HALEY LYNN KLOBERDANZ (ARNP, PMHNP-BC) – Registered Nurse, NPI 1104553304
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for HALEY LYNN KLOBERDANZ (ARNP, PMHNP-BC)
1430 COLLIER ST
AUSTIN, TX 787042911
Phone: (512) 472-4357
Fax: (512) 703-1394
Type: Mailing
6600 E BEN WHITE BLVD
AUSTIN, TX 787417537
Phone: (512) 804-3770
Type: Location
5408 NW 88TH ST STE 140
JOHNSTON, IA 501312953
Phone: (515) 368-7504
Fax: (515) 355-3491
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 122 Open Payments records for all available years, with a total value of $2,212.
Total Amount is formed as General ($2,212) + Research ($0) + Ownership ($0) = $2,212.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($557).
Total Amount
$2,212
General + Research + Ownership
Payments
122
Total payment records
General Amount
$2,212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $557 |
| Lundbeck LLC | $201 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $170 |
| Vanda Pharmaceuticals Inc. | $160 |
| Janssen Pharmaceuticals, Inc | $108 |
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: 2023-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230808000251 | I | Nurse Practitioner | IA | TBD |
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.
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 78704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Physician Assistant | VA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Clinical Psychologist | IA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Mental Health Counselor | IA | |
| Physician Assistant | IA |
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