MISS HAILEY MARIE GARRISON – Physician Assistant, NPI 1629590732

MISS HAILEY MARIE GARRISON is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICIAN ASSISTANT. The NPI Number for MISS HAILEY MARIE GARRISON is 1629590732

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MISS HAILEY MARIE GARRISON
NPI
1629590732
Phone
(702) 461-8213
Address
340 JOHN HENRY DR
Enumeration Date
10 July 2017
Last Update Date
10 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7147781300
Graduation Year
2017 (9 years ago)
PAC ID
2163781881
Group Practice PAC ID
2365479565
Professional Enrollment ID
I20180125000926
Address ID
CA928012811AN1211XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MISS HAILEY MARIE GARRISON

  • 340, John Henry Drive, Whitney Ranch, Henderson, Clark County, Nevada, 89014, United States

    HENDERSON, NV 890146069

    Phone: (702) 461-8213

    Type: Mailing

  • 309, East 2nd Street, Edison Historic District, Pomona, Los Angeles County, California, 91766, United States

    POMONA, CA 917661854

    Phone: (909) 623-6116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 126 Open Payments records for all available years, with a total value of $2,291.

Total Amount is formed as General ($2,291) + Research ($0) + Ownership ($0) = $2,291.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($506).

Total Amount

$2,291

General + Research + Ownership

Payments

126

Total payment records

General Amount

$2,291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2018-01-25

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
I20180125000926IPhysician AssistantCATBD

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 89014)

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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: 2365479565View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineCA
G A S T R O E N T E R O L O G YCA
P A T H O L O G YCA
G A S T R O E N T E R O L O G YCA
Gastroenterology, Internal MedicineCA
-CA

Reviews

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Frequently asked questions

Can I cross-check MISS HAILEY MARIE GARRISON using NPI 1629590732?
NPI 1629590732 belongs to MISS HAILEY MARIE GARRISON; compare other details if you need extra assurance.
Would MISS HAILEY MARIE GARRISON appear as active to a payer?
You can treat MISS HAILEY MARIE GARRISON as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MISS HAILEY MARIE GARRISON?
At a glance, MISS HAILEY MARIE GARRISON is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MISS HAILEY MARIE GARRISON located near Henderson?
MISS HAILEY MARIE GARRISON currently maps to Henderson, Nevada in this extract.
Can I trust this NPI listing for MISS HAILEY MARIE GARRISON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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