HALEY R ENDACOTT (APRN) – Nurse Practitioner, NPI 1891074308
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for HALEY R ENDACOTT (APRN)
2100 N GREEN ACRES RD
SUITE A
FAYETTEVILLE, AR 72703
Phone: (479) 521-0455
Fax: (479) 521-4167
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $901.
Total Amount is formed as General ($901) + Research ($0) + Ownership ($0) = $901.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($404).
Total Amount
$901
General + Research + Ownership
Payments
42
Total payment records
General Amount
$901
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-10-23
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 |
|---|---|---|---|---|
| I20121023000277 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 95115 | Professional service for single injection of allergen | 1,893 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 316 | 267 | $0 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 261 | 226 | $0 |
| 69210 | Removal of impacted ear wax | 154 | 122 | $0 |
| 92567 | Test to assess middle ear function | 102 | 97 | $0 |
Insurance plans in this area (ZIP 72703)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AR | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 339 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Allergy/Immunology | AR | |
| Physician Assistant | AR | |
| Qualified Audiologist | AR | |
| Qualified Audiologist | AR |
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