COLLETTE HAIN – Family Nurse Practitioner, NPI 1356681373

COLLETTE HAIN is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP031163 (PA). The NPI Number for COLLETTE HAIN is 1356681373

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
COLLETTE HAIN
NPI
1356681373
Phone
(267) 597-3654
Address
4700 WISSAHICKON AVE
Enumeration Date
28 February 2013
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6103269460
Graduation Year
2012 (14 years ago)
PAC ID
1850530072
Group Practice PAC ID
5395804827
Professional Enrollment ID
I20190307001919
Address ID
PA194657438PO351XXRDXX421
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for COLLETTE HAIN

  • 4700 WISSAHICKON AVE

    STE 118 BLDG D

    PHILADELPHIA, PA 191444248

    Phone: (267) 597-3654

    Fax: (267) 597-3622

    Type: Mailing

  • 850 N 11TH ST

    PHILADELPHIA, PA 191231957

    Phone: (215) 769-1100

    Fax: (215) 769-1117

    Type: Location

  • 351 W SCHUYLKILL RD STE G-15A

    POTTSTOWN, PA 194657438

    Phone:

    Type: Mailing

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 $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($37).

Total Amount

$187

General + Research + Ownership

Payments

9

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2019-03-07

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
I20190307001919INurse PractitionerPATBD

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 19144)

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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: 5395804827View full group profile
NameSpecialtyState
P O D I A T R YPA
Family PracticePA
-PA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Family Practice, Addiction MedicinePA
Family PracticePA
Physician AssistantNY

Reviews

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Frequently asked questions

Is COLLETTE HAIN listed with a National Provider Identifier?
Yes — COLLETTE HAIN has NPI 1356681373 on file in the registry.
Would COLLETTE HAIN appear as active to a payer?
You can treat COLLETTE HAIN as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to COLLETTE HAIN?
COLLETTE HAIN's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is COLLETTE HAIN associated with Philadelphia?
Public fields place COLLETTE HAIN around Philadelphia, Pennsylvania. 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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