Hailey Willoughby, FNP-C - Medicare Nurse Practitioner in Port Huron, MI

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Hailey Willoughby, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Port Huron, Michigan. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pic Indiana Pc, Hometown Urgent Care Of Michigan Pc and her current practice location is 1210 10th Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 662-3505.

Hailey Willoughby is licensed to practice in Michigan (license number 4704278139) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487315420.

Contact Information

Hailey Willoughby, FNP-C
1210 10th Ave,
Port Huron, MI 48060-3406
(810) 662-3505
Not Available

Map and Direction




Provider's Profile

Full NameHailey Willoughby
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1210 10th Ave, Port Huron, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hailey Willoughby graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1487315420
  • Provider Enumeration Date: 01/03/2022
  • Last Update Date: 09/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143607481
  • Enrollment ID: I20220506001523

Medical Identifiers

Medical identifiers for Hailey Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487315420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704278139 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pic Indiana Pc3476790239135
Hometown Urgent Care Of Michigan Pc812327084055

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hailey Willoughby allows following entities to bill medicare on her behalf.
Entity NameHometown Urgent Care Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20121204000095
Entity NameBlue Water Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477135036
PECOS PAC ID: 8123427895
Enrollment ID: O20210528002212
Entity NamePic Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20250228001187

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hailey Willoughby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hailey Willoughby, FNP-C
812 Lapeer Ave Ste B,
Port Huron, MI 48060-4480

Ph: (810) 650-0644		Hailey Willoughby, FNP-C
1210 10th Ave,
Port Huron, MI 48060-3406

Ph: (810) 662-3505

Reviews and Comments


Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC
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Phone: 810-987-5000    
Justine Schrader,
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Amy Storey, NP
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Phone: 810-987-5000    Fax: 810-985-2669
Carol Lydia Wiediger, APRN
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Practice Location: 3111 Electric Ave, Port Huron, MI 48060
Phone: 810-985-8900    
Mrs. Sarah Colleen Ingles, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2875 Henry St, Port Huron, MI 48060
Phone: 810-966-7804    Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060
Phone: 810-966-9556    Fax: 810-966-4898
Gudalia Fajardo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060
Phone: 810-987-5252    Fax: 810-987-2120

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.