MRS. HAILEY RUSSELL (DNP, FNP) – Family Nurse Practitioner, NPI 1104587864

MRS. HAILEY RUSSELL (DNP, FNP) is a healthcare provider. based in Layton, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP. They hold a License No. 9771200-8900 (UT). The NPI Number for MRS. HAILEY RUSSELL (DNP, FNP) is 1104587864

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HAILEY RUSSELL (DNP, FNP)
NPI
1104587864
Phone
(801) 773-4840
Address
PO BOX 337
Enumeration Date
5 January 2022
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017734840
Graduation Year
2021 (5 years ago)
PAC ID
1153715073
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20220218000677
Address ID
UT840159099CL1477X2000302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MRS. HAILEY RUSSELL (DNP, FNP)

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Mailing

  • 1477 N 2000 W

    CLINTON, UT 840158638

    Phone: (801) 773-4840

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $1,491.

Total Amount is formed as General ($1,491) + Research ($0) + Ownership ($0) = $1,491.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($279).

Total Amount

$1,491

General + Research + Ownership

Payments

93

Total payment records

General Amount

$1,491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2022-02-18

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
I20220218000677INurse PractitionerUTTBD

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 minutes11282$0
99214Established patient office or other outpatient visit, 30-39 minutes4631$0
36415Insertion of needle into vein for collection of blood sample2819$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
81002Urinalysis, manual test2118$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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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: 4284547985View full group profile
NameSpecialtyState
Nurse PractitionerUT
Family PracticeUT
Physician AssistantUT
Internal Medicine, EndocrinologyUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Qualified AudiologistUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

Is there an official ID for MRS. HAILEY RUSSELL (DNP, FNP) in U.S. healthcare records?
The official identifier for MRS. HAILEY RUSSELL (DNP, FNP) is NPI 1104587864.
Active or inactive — what applies to MRS. HAILEY RUSSELL (DNP, FNP)?
You should see MRS. HAILEY RUSSELL (DNP, FNP) as active in CMS-hosted NPPES data.
How would a patient describe MRS. HAILEY RUSSELL (DNP, FNP)'s focus?
For MRS. HAILEY RUSSELL (DNP, FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. HAILEY RUSSELL (DNP, FNP)?
Directory geography for MRS. HAILEY RUSSELL (DNP, FNP) centers on Layton, Utah.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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