HAILY NICOLE HELTON (PA) – Physician Assistant, NPI 1063018141
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
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: 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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210512000783 | I | Physician Assistant | CA | 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.
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
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA |
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