ANDREA L. HALLER MD – NPI #1407853146
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

ANDREA HALLER is a psychiatry & neurologist located in FORT WAYNE, IN. NPPES has assigned the NPI number 1407853146 to ANDREA HALLER on July 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ANDREA L MARCUS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 3 years ago on Sep 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREA HALLER below.

NPI Profile for
ANDREA L. HALLER

NPI Number
1407853146
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANDREA L. HALLER
Former Name: ANDREA L MARCUS
Credentials
MD
Primary location
7956 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone: (260) 436-2416 Fax: (260) 436-9662
1 Other location(s):
306 E Maumee St Ste 103
Angola, IN 46703-2038
Phone: (260) 436-2416
Mailing address
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANDREA HALLER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIN200295410
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 IN 01053486A
2084S0012X
- Psychiatry & Neurology / Sleep Medicine		 IN 01053486A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
7956 W JEFFERSON BLVD,
FORT WAYNE, IN 77025-1669

Additional Information

Education
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE - Graduated 1997
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ANDREA HALLER is affiliated with the following medical group(s):
  • HOSPITAL
    • BLUFFTON REGIONAL MEDICAL CENTER
      303 S MAIN ST
      BLUFFTON, IN 46714
    • CAMERON MEMORIAL COMMUNITY HOSPITAL INC
      416 E MAUMEE ST
      ANGOLA, IN 46703
    • LUTHERAN HOSPITAL OF INDIANA
      7910 W JEFFERSON BLVD
      FORT WAYNE, IN 46804
    • MARION GENERAL HOSPITAL
      441 N WABASH AVE
      MARION, IN 46952
    • PARKVIEW REGIONAL MEDICAL CENTER
      11109 PARKVIEW PLAZA DRIVE
      FORT WAYNE, IN 46845

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.