SALLY KEARSTIN HAMBELTON – Family Nurse Practitioner, NPI 1407366768

SALLY KEARSTIN HAMBELTON is a healthcare provider. based in Gainesville, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. A005376 (AR). The NPI Number for SALLY KEARSTIN HAMBELTON is 1407366768

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SALLY KEARSTIN HAMBELTON
NPI
1407366768
Phone
(417) 712-4220
Address
817 STATE HIGHWAY 181
Enumeration Date
1 October 2017
Last Update Date
1 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013379031
Graduation Year
2017 (9 years ago)
PAC ID
8123388725
Group Practice PAC ID
3971043290
Professional Enrollment ID
I20240918000371
Address ID
AR721044700MA2223XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for SALLY KEARSTIN HAMBELTON

  • 817 STATE HIGHWAY 181

    GAINESVILLE, MO 656557448

    Phone: (417) 712-4220

    Type: Mailing

  • 630, Burnett Drive, Mountain Home, Baxter County, Arkansas, 72653, United States

    MOUNTAIN HOME, AR 726532941

    Phone: (870) 425-6971

    Fax: (870) 508-8900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $285.

Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($124).

Total Amount

$285

General + Research + Ownership

Payments

17

Total payment records

General Amount

$285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2024-09-18

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
I20240918000371INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3938$0
View full utilization report →

Insurance plans in this area (ZIP 65655)

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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: 3971043290View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerIL
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Where can patients find SALLY KEARSTIN HAMBELTON's NPI?
You can confirm SALLY KEARSTIN HAMBELTON with NPI 1407366768; it appears in the national provider directory.
Is SALLY KEARSTIN HAMBELTON's NPI currently valid?
The extract we use shows SALLY KEARSTIN HAMBELTON as active.
What field does SALLY KEARSTIN HAMBELTON work in?
You can think of SALLY KEARSTIN HAMBELTON as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SALLY KEARSTIN HAMBELTON?
The snapshot lists Gainesville, Missouri for SALLY KEARSTIN HAMBELTON; download NPPES for the complete set.
Is SALLY KEARSTIN HAMBELTON a real provider?
This page reflects official NPPES data for NPI 1407366768. Always confirm identity and privileges with the practice and licensing boards.

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