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

Individual provider Physician Assistant · NPI 1952117665

Haley Jane Moore, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

755 E McDowell Rd Fl 2
Phoenix, AZ 85006-2506
Phone: (602) 521-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E McDowell Rd, Phoenix, AZ 85006-2612 — (602) 839-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11320 (AZ)

Record details

NPI number1952117665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address755 E McDowell Rd Fl 2, Phoenix, AZ 85006-2506

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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