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Active NPI 1487315420 Individual Practitioner Female Practitioner

Hailey Willoughby , FNP-C

Nurse Practitioner - Family • Port Huron, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Hailey Willoughby, FNP-C is a certified Nurse Practitioner - Family practicing in Port Huron, MI. With approximately 5 years of clinical experience since completing medical education in 2021, Hailey Willoughby delivers high-quality medical care to the local community at 1210 10TH AVE.

Hailey Willoughby maintains professional affiliations with Blue Water Urgent Care Pllc, Pic Indiana Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1210 10th Ave

Port Huron, MI 480603406

Telephone 8106623505
Associated Practice Facility / Clinic
🏢 Lung Docs Of America, Pllc Facility NPI 1538670518

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Port Huron, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -2.3 yrs vs City Avg
City Avg: 7.3 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Port Huron, MI (5388 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willoughby (5 Years) 5 Yrs
Port Huron Specialty Average (7.3 Years) 7.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
102 12 $12.06 $0.09
99213 Established patient office or other outpatient visit, typically 15 minutes
49 44 $158.37 $72.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
44 44 $182.50 $87.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 31 $212.06 $103.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31 31 $266.77 $131.39
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
26 26 $113.46 $40.55
81003 Automated urinalysis test
25 23 $10.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2022-09-16
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License MI 4704278139

Definition to come...

Hospital & Practice Group Affiliations

Pic Indiana Pc

25 Columbia Ave E, Battle Creek, MI 490153703

Phone: 2694253017

Blue Water Urgent Care Pllc

3941 24th Ave, Fort Gratiot, MI 480594102

Phone: 8108829373

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kaitlyn Mahaffy

Nurse Practitioner - Family

NPI 1023879657
Casey Renno , AGNP-C

Nurse Practitioner - Gerontology

NPI 1144866013

Adult-Gerontology Nurse Practitioner (Certified)

Rachel Distelrath , FNP-BC

Nurse Practitioner - Family

NPI 1184440158

Family Nurse Practitioner (Board Certified)

Dr. Emad Daher , MD

Internal Medicine

NPI 1265415285

Doctor of Medicine (M.D.)

Lindsay Marlatt

Nurse Practitioner - Gerontology

NPI 1851969844

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated September 16, 2022

Recorded as HAILEY WILLOUGHBY, FNP-C

NPI Profile Active January 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2022

Registered at 1210 10TH AVE, PORT HURON, MI 480603406 (Tel: 8106623505)

📍
Updated Business Mailing Address January 03, 2022

Registered at 812 LAPEER AVE STE B, PORT HURON, MI 480604480 (Tel: 8106500644)

👤
Provider Name / Credentials Updated January 03, 2022

Recorded as HAILEY MANNLEIN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Nurse Practitioner (License #4704278139 in MI)

🟢
Initial NPI Registration & Enumeration January 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487315420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2022
Last Update: September 16, 2022
Sole Proprietor: No

Mailing Address

812 Lapeer Ave Ste B

Port Huron, MI 480604480

Phone: 8106500644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.