SALLY ANN HATON (APRN, FNP-C) – Family Medicine Physician, NPI 1396626628

SALLY ANN HATON (APRN, FNP-C) is a healthcare provider. based in North las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 848469 (NV). The NPI Number for SALLY ANN HATON (APRN, FNP-C) is 1396626628

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
SALLY ANN HATON (APRN, FNP-C)
NPI
1396626628
Phone
(702) 908-5125
Address
6248 SUPERNOVA HILL ST
Enumeration Date
11 September 2025
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029563750
Graduation Year
2025 (1 year ago)
PAC ID
2163918681
Group Practice PAC ID
2668868761
Professional Enrollment ID
I20260105000733
Address ID
NV891296188LA3317XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for SALLY ANN HATON (APRN, FNP-C)

  • 6248 SUPERNOVA HILL ST

    NORTH LAS VEGAS, NV 890313743

    Phone: (702) 908-5125

    Type: Mailing

  • 5225 S DURANGO DR

    LAS VEGAS, NV 891130137

    Phone: (702) 253-9355

    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: 2026-01-05

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
I20260105000733INurse PractitionerNVTBD

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 89031)

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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: 2668868761View full group profile
NameSpecialtyState
P O D I A T R YNV
P O D I A T R YWI
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What identifier follows SALLY ANN HATON (APRN, FNP-C) across health systems?
The NPI 1396626628 uniquely identifies SALLY ANN HATON (APRN, FNP-C) in U.S. healthcare data.
Should I treat SALLY ANN HATON (APRN, FNP-C) as an active provider?
Patients and plans typically see SALLY ANN HATON (APRN, FNP-C) as active in the national extract.
Which specialty label fits SALLY ANN HATON (APRN, FNP-C)?
NPPES ties SALLY ANN HATON (APRN, FNP-C) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SALLY ANN HATON (APRN, FNP-C)?
SALLY ANN HATON (APRN, FNP-C) shows a connection to North Las Vegas, Nevada in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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