MRS. HALEY NICOLE TIPPS (PA) – Physician Assistant, NPI 1346936085
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MRS. HALEY NICOLE TIPPS (PA)
805 ROLLING TERRACE CIR
GRANBURY, TX 760497875
Phone: (817) 996-4186
Type: Mailing
1212 CLEAR LAKE RD STE 200
WEATHERFORD, TX 760865878
Phone: (817) 871-9069
Fax: (817) 871-9067
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,367.
Total Amount is formed as General ($1,367) + Research ($0) + Ownership ($0) = $1,367.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AngioDynamics, Inc. ($225).
Total Amount
$1,367
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $225 |
| Endo USA, Inc. | $209 |
| Axonics, Inc. | $166 |
| Dendreon Pharmaceuticals LLC | $149 |
| Accord Healthcare, Inc. | $121 |
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: 2023-05-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230515000459 | I | Physician Assistant | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 247 | 19 | $0 |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 95 | 19 | $0 |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 57 | 19 | $0 |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 19 | 19 | $0 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 19 | 19 | $0 |
Insurance plans in this area (ZIP 76049)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| U R O L O G Y | TX | |
| Physician Assistant | TX | |
| U R O L O G Y | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| U R O L O G Y | TX |
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