Haley Nicole Wilson, PT, DPT - Medicare Physical Therapist in Lees Summit, MO

Haley Nicole Wilson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lees Summit, Missouri. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Boost Sports Performance Llc and her current practice location is 2861 Ne Independence Ave Ste 104, Lees Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 272-8538.

Haley Nicole Wilson is licensed to practice in Missouri (license number 2021037851) 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 1023789500.

Contact Information

Haley Nicole Wilson, PT, DPT
2861 Ne Independence Ave Ste 104,
Lees Summit, MO 64064-2379
(816) 272-8538
Not Available



Healthcare Provider's Profile

Full NameHaley Nicole Wilson
GenderFemale
SpecialityPhysical Therapy
Experience3 Years
Location2861 Ne Independence Ave Ste 104, Lees Summit, Missouri
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:
  • Haley Nicole Wilson graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1023789500
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 01/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072906122
  • Enrollment ID: I20220214000088

Medical Identifiers

Medical identifiers for Haley Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023789500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 11-06896 (Kansas)Secondary
225100000XPhysical Therapist 2021037851 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boost Sports Performance Llc892117160410

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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. Haley Nicole Wilson allows following entities to bill medicare on her behalf.
Provider NameBoost Sports Performance Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548428931
PECOS PAC ID: 8921171604
Enrollment ID: O20080715000245

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› Verified 6 days ago

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. Haley Nicole Wilson 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
Haley Nicole Wilson, PT, DPT
2861 Ne Independence Ave, Ste 104,
Lees Summit, MO 64064-2379

Ph: (816) 272-8538
Haley Nicole Wilson, PT, DPT
2861 Ne Independence Ave Ste 104,
Lees Summit, MO 64064-2379

Ph: (816) 272-8538

News Archive

Heart defect caused 4-year-old to die on Disney ride

According to a Florida autopsy report a 4-year-old boy who collapsed in June after riding a rocket simulator at Walt Disney World had a serious heart defect which caused his death.

PET for children: CHOP-Penn researchers study reduction in radiation dosage

Studies have shown positron emission tomography's (PET) value as a minimally invasive, painless and safe diagnostic tool for many pediatric conditions. In a study published in the February issue of The Journal of Nuclear Medicine (JNM), researchers at the Children's Hospital of Philadelphia (CHOP) and the University of Pennsylvania (Penn) gathered data that may provide clinicians with new formulas-specific to pediatrics-to calculate the amount of radiotracer that should be injected based on the patient's weight.

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Cardiovascular Systems, Inc., has received Food and Drug Administration unconditional Investigational Device Exemption (IDE) approval, allowing the company to proceed with ORBIT II, a pivotal trial to evaluate the safety and effectiveness of CSI's Diamondback 360® System in the coronary arteries. CSI received conditional IDE approval for the ORBIT II study in January 2010.

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Read more News

› Verified 6 days ago


Physical Therapist in Lees Summit, MO

Abriana P Wood, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3680 Ne Akin Dr Ste 130, Lees Summit, MO 64064
Phone: 816-831-1920    
Beth Bruce, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 400 Se Topaz Dr, Lees Summit, MO 64063
Phone: 816-682-8213    
Dr. Andrew Joseph Brimhall, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 806 Sw Blue Pkwy, Lees Summit, MO 64063
Phone: 816-272-1427    Fax: 816-600-2602
Nicole Montgomery, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 829 Sw Lemans Ln, Lees Summit, MO 64082
Phone: 816-352-9461    
Austin Tyler Williams, PT, DPT, OCS, CSCS
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1629 Ne Westwind Dr, Lees Summit, MO 64086
Phone: 816-944-6825    Fax: 816-548-1024
Dr. Patnakon Kevin Sonthana, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1254 Se Century Dr, Lees Summit, MO 64081
Phone: 816-524-1442    Fax: 816-524-1445

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