HAILEY ANNE CLARK (NP-C) – Family Nurse Practitioner, NPI 1487125969
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
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Provider Addresses for HAILEY ANNE CLARK (NP-C)
167, East 1st South, Rigby, Jefferson County, Idaho, 83442, United States
RIGBY, ID 834421401
Phone: (208) 745-8747
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 9 Open Payments records for all available years, with a total value of $209.
Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($83).
Total Amount
$209
General + Research + Ownership
Payments
9
Total payment records
General Amount
$209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $83 |
| ABBVIE INC. | $50 |
| Daiichi Sankyo Inc. | $34 |
| Teva Pharmaceuticals USA, Inc. | $26 |
| Novo Nordisk Inc | $16 |
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: 2019-03-26
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 |
|---|---|---|---|---|
| I20190326002408 | I | Nurse Practitioner | ID | 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 83442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Nurse Midwife (Cnm) | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Certified Nurse Midwife (Cnm) | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Physician Assistant | ID | |
| Certified Nurse Midwife (Cnm) | ID |
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