SAMUEL RAY HISER (APN) – Adult Health Nurse Practitioner, NPI 1760459648
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for SAMUEL RAY HISER (APN)
NEA Baptist Clinic, 4802, East Johnson Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States
JONESBORO, AR 724018413
Phone: (870) 936-8000
Fax: (870) 934-3626
Type: Location
Jonesboro Post Office, West Broad Street, Jonesboro, Union County, Illinois, 62952, United States
JONESBORO, AR 724031960
Phone: (870) 936-8000
Fax: (870) 934-3626
Type: Mailing
404 COUNTY ROAD 376
BONO, AR 724167556
Phone: (870) 219-1661
Fax: (870) 333-5452
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $784.
Total Amount is formed as General ($784) + Research ($0) + Ownership ($0) = $784.
Last reported payment date: 2023-09-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($372).
Total Amount
$784
General + Research + Ownership
Payments
49
Total payment records
General Amount
$784
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $372 |
| Insmed, Inc. | $101 |
| Mylan Specialty L.P. | $93 |
| Grifols USA, LLC | $45 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051205000864 | I | Certified Clinical Nurse Specialist (Cns) | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 81 | 30 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 76 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 72401)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AR | |
| Internal Medicine | AR | |
| - | CA | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | TN | |
| - | AR | |
| Nurse Practitioner | TN | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | TN | |
| Nurse Practitioner | AR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.