RACHEAL HARDIN (NP) – Nurse Practitioner, NPI 1104601301

RACHEAL HARDIN (NP) is a healthcare provider. based in La marque, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP139515 (TX). The NPI Number for RACHEAL HARDIN (NP) is 1104601301

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
RACHEAL HARDIN (NP)
NPI
1104601301
Phone
(409) 739-1099
Address
120 SACAJEWA DR
Enumeration Date
28 August 2023
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4097449355
Graduation Year
2018 (8 years ago)
PAC ID
0042752123
Group Practice PAC ID
1557519741
Professional Enrollment ID
I20240604002907
Address ID
TX775511800GA2724XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for RACHEAL HARDIN (NP)

  • 120 SACAJEWA DR

    LA MARQUE, TX 775686628

    Phone: (409) 739-1099

    Type: Mailing

  • 17080 HIGHWAY 3

    WEBSTER, TX 775984129

    Phone: (281) 557-5525

    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: 2024-06-04

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
I20240604002907INurse PractitionerTXTBD

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 77568)

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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: 1557519741View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
Family PracticeTX

Reviews

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Frequently asked questions

Does RACHEAL HARDIN (NP) have a public NPI I can cite?
Public records show RACHEAL HARDIN (NP) under NPI 1104601301.
Is RACHEAL HARDIN (NP)'s NPI status active today?
Active status means RACHEAL HARDIN (NP)'s NPI record is not deactivated in the public file.
What type of care does RACHEAL HARDIN (NP) provide?
RACHEAL HARDIN (NP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit RACHEAL HARDIN (NP) in La Marque, Texas?
For routing, start with La Marque, Texas for RACHEAL HARDIN (NP), then verify phone and hours locally.
Why is information missing for RACHEAL HARDIN (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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