Ms Hisayo Hara Pelton, CNP is a medicare enrolled "Family Medicine" in Dallas, Texas. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
8418 Lullwater Dr, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 503-0590.
Ms Hisayo Hara Pelton is licensed to practice in Texas (license number 1144651) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1649004557.
Provider's Profile
| Full Name | Ms Hisayo Hara Pelton |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 8418 Lullwater Dr, Dallas, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Hisayo Hara Pelton graduated from nursing school in 2023
NPI Data:
- NPI Number: 1649004557
- Provider Enumeration Date: 09/02/2024
- Last Update Date: 03/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 8325517923
- Enrollment ID: I20260513000677
Medical Identifiers
Medical identifiers for Ms Hisayo Hara Pelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649004557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2026003045 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 1144651 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Hisayo Hara Pelton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Hisayo Hara Pelton, CNP
8418 Lullwater Dr,
Dallas, TX 75218-1150
Ph: (214) 732-7557 | Ms Hisayo Hara Pelton, CNP
8418 Lullwater Dr,
Dallas, TX 75218-1150
Ph: (214) 503-0590 |
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