HAILY NICOLE HELTON (PA) – Physician Assistant, NPI 1063018141

HAILY NICOLE HELTON (PA) is a healthcare provider. based in La verne, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA59186 (CA). The NPI Number for HAILY NICOLE HELTON (PA) is 1063018141

Main info

Female
6 Years Of Experience
Name
HAILY NICOLE HELTON (PA)
NPI
1063018141
Phone
(909) 709-0621
Address
1757 EATON PL
Enumeration Date
5 December 2020
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9092815800
Graduation Year
2020 (6 years ago)
PAC ID
0648689240
Group Practice PAC ID
4587642467
Professional Enrollment ID
I20210512000783
Address ID
CA917632326MO5050XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

Provider Addresses for HAILY NICOLE HELTON (PA)

  • 1757 EATON PL

    LA VERNE, CA 917502681

    Phone: (909) 709-0621

    Type: Location

  • 10837 LAUREL ST STE 204

    RANCHO CUCAMONGA, CA 917307657

    Phone: (909) 294-5358

    Fax: (909) 294-5356

    Type: Mailing

  • 9804 FOOTHILL BLVD

    RANCHO CUCAMONGA, CA 917303616

    Phone: (909) 466-5433

    Type: Mailing

  • 13193 Central Ave

    Chino, CA 917104179

    Phone: (909) 464-9675

    Type: Location

  • 600 N Euclid Ave Ste 202

    Upland, CA 917864779

    Phone: (840) 237-3344

    Type: Location

  • 4651 Holt Blvd Ste G

    Montclair, CA 917634730

    Phone: (909) 326-0414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,021.

Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($444).

Total Amount

$1,021

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-12

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210512000783IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587642467View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

What NPI should I save for HAILY NICOLE HELTON (PA)?
Save NPI 1063018141 if you need a stable reference for HAILY NICOLE HELTON (PA).
Is HAILY NICOLE HELTON (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does HAILY NICOLE HELTON (PA) work in?
You can think of HAILY NICOLE HELTON (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does HAILY NICOLE HELTON (PA) practice in California?
You will see La Verne, California on file for HAILY NICOLE HELTON (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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