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

Individual provider Physician Assistant · NPI 1659909943

Haley Bantz, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with St Anthonys Physician Organization Hospitalist Services Lc, a 139-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021009043 (MO)

Record details

NPI number1659909943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address10010 Kennerly Road, 3 Southbridge, Saint Louis, MO 63128

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Anthonys Physician Organization Hospitalist Services Lc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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