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

Haley Christine Blackwill, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1811446214

Haley Christine Blackwill, AGACNP is a Nurse Practitioner in Orange, California. Qualified in 2016, 10 years ago. Practices with Regents of the University of Claifornia Univ Neursciences, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 880-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 W Carson St, Torrance, CA 90502-2004 — (310) 222-2345

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95004960 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95004960 (CA)

Record details

NPI number1811446214
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 26, 2016
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Regents Of The University Of Claifornia Univ Neursciences — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orange