Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley Ann Ketcham, FNP

Individual provider Family Nurse Practitioner · NPI 1174280903

Haley Ann Ketcham, FNP is a Nurse Practitioner in Hampton Bays, New York. Graduated from State University of New York Downstate Medical Center in 2021, 5 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6 Long Ln
Hampton Bays, NY 11946-2641
Phone: (631) 566-5217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F348701 (NY)

Record details

NPI number1174280903
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateAugust 7, 2021
Mailing address6 Long Ln, Hampton Bays, NY 11946-2641

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2021 (5 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hampton Bays