HALEY RAYETTE ODOM (APRN, CNP) – Family Nurse Practitioner, NPI 1144831223

HALEY RAYETTE ODOM (APRN, CNP) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 1003201 (TX). The NPI Number for HALEY RAYETTE ODOM (APRN, CNP) is 1144831223

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HALEY RAYETTE ODOM (APRN, CNP)
NPI
1144831223
Phone
(409) 212-8111
Address
740 HOSPITAL DR STE 300
Enumeration Date
12 August 2020
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092128111
Graduation Year
2020 (6 years ago)
PAC ID
5991122236
Group Practice PAC ID
8426063736
Professional Enrollment ID
I20200901000724
Address ID
TX777014666BE740XXDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HALEY RAYETTE ODOM (APRN, CNP)

  • 740 HOSPITAL DR STE 300

    BEAUMONT, TX 777014666

    Phone: (409) 212-8111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($162).

Total Amount

$327

General + Research + Ownership

Payments

10

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-01

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
I20200901000724INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 77701)

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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: 8426063736View full group profile
NameSpecialtyState
-ND
-TX
Qualified AudiologistTX
Nurse PractitionerTX
O T O L A R Y N G O L O G YTX
Nurse PractitionerTX
Qualified AudiologistTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for HALEY RAYETTE ODOM (APRN, CNP) in the U.S.?
In the U.S., HALEY RAYETTE ODOM (APRN, CNP) is identified by NPI 1144831223.
Should I treat HALEY RAYETTE ODOM (APRN, CNP) as an active provider?
Patients and plans typically see HALEY RAYETTE ODOM (APRN, CNP) as active in the national extract.
What does the directory say HALEY RAYETTE ODOM (APRN, CNP) does?
Insurance directories may phrase it differently, but here HALEY RAYETTE ODOM (APRN, CNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to HALEY RAYETTE ODOM (APRN, CNP)?
HALEY RAYETTE ODOM (APRN, CNP) shows a connection to Beaumont, Texas in registry-derived data.
Who maintains HALEY RAYETTE ODOM (APRN, CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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