DR. WILLIS HARTNETT HAYMAKER (DC) – Chiropractor, NPI 1669900171

DR. WILLIS HARTNETT HAYMAKER (DC) is a healthcare provider. based in Pace, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH12186 (FL). The NPI Number for DR. WILLIS HARTNETT HAYMAKER (DC) is 1669900171

Main info

Male
9 Years Of Experience
Name
DR. WILLIS HARTNETT HAYMAKER (DC)
NPI
1669900171
Phone
(850) 473-5555
Address
4650 Woodbine Rd
Enumeration Date
28 May 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124527681
Graduation Year
2017 (9 years ago)
PAC ID
7517236292
Group Practice PAC ID
8921254624
Professional Enrollment ID
I20230124001559
Address ID
TX787570000AU2700XLANE401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for DR. WILLIS HARTNETT HAYMAKER (DC)

  • 4650 Woodbine Rd

    Pace, FL 325718717

    Phone: (850) 473-5555

    Fax: (850) 995-5713

    Type: Location

  • 2122 W NINE MILE RD

    PENSACOLA, FL 325349464

    Phone: (850) 473-5555

    Fax: (850) 473-5505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-01-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230124001559IChiropracticTXTBD

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 32571)

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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: 8921254624View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

How do payers reference DR. WILLIS HARTNETT HAYMAKER (DC)?
For DR. WILLIS HARTNETT HAYMAKER (DC), use NPI 1669900171 as the unique 10-digit identifier.
Is DR. WILLIS HARTNETT HAYMAKER (DC) still an active registrant?
DR. WILLIS HARTNETT HAYMAKER (DC) carries an active NPI according to the public dataset.
What expertise is attributed to DR. WILLIS HARTNETT HAYMAKER (DC)?
DR. WILLIS HARTNETT HAYMAKER (DC)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. WILLIS HARTNETT HAYMAKER (DC) associated with Pace?
Public fields place DR. WILLIS HARTNETT HAYMAKER (DC) around Pace, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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