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HAILSTONE FAMILY PRACTICE PLLC
NPI 1437967320
Family Medicine in Henderson, NV

Active since December 23, 2024CLIA 29D2323157 · Waiver
9065 S PECOS RD STE 190, HENDERSON, NV 89074(725) 485-2080(885) 576-5067 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Jan 8, 2025, Jan 4, 2025 and 1 more (4 updates tracked since 2024).

About Hailstone Family Practice Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAILSTONE FAMILY PRACTICE PLLC (NPI 1437967320) is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Travis Hailstone, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1437967320
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAILSTONE FAMILY PRACTICE PLLC
Location Address9065 S PECOS RD STE 190Henderson, NV 89074-6605
Mailing Address9065 S Pecos Road, Suite 190Henderson, NV 89074-4539 · (725) 485-2080 · Fax (885) 576-5067
Phone(725) 485-2080
Fax(885) 576-5067
Organization SubpartNo
Authorized OfficialTravis HailstoneOwner/physician · (725) 485-2080
Enumeration DateDecember 23, 2024
Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1437967320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9065 S PECOS RD STE 190, Henderson, NV 89074
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2323157

Hailstone Family Practice PLLC · Henderson, NV
Active · expires Apr 30, 2027
CLIA Number29D2323157
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorTravis G Hailstone
Laboratory Phone(725) 485-2080
Laboratory LocationHailstone Family Practice PLLC9065 S Pecos Rd Ste 190, Henderson, NV 89074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA KIM
Nurse Practitioner (Family)
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (702) 888-3148
CARMELITA LAARNI VILLEGAS PAYOS MD
Family Medicine
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (702) 888-3148
TRAVIS GORDON HAILSTONE D.O.
Family Medicine
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (725) 485-2080
KAILEE KELLEN
Physician Assistant
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (725) 485-2080
DR. TERRANCE L BALLARD M.D.
Internal Medicine
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (702) 948-0013
DIANA L KIRBY FNP-BC
Nurse Practitioner (Family)
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (702) 888-3148
WHISLY NG FNP-C
Nurse Practitioner (Family)
9065 S PECOS RD STE 190
HENDERSON, NV 89074
Clark County (702) 888-3148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hailstone Family Practice PLLC's NPI number?

The NPI number for Hailstone Family Practice PLLC is 1437967320. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Hailstone Family Practice PLLC located?

Hailstone Family Practice PLLC is located at 9065 S Pecos Rd Ste 190, Henderson, NV 89074. The listed phone number is (725) 485-2080.

What is Hailstone Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hailstone Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2323157) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hailstone Family Practice PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Hailstone Family Practice PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hailstone Family Practice PLLC was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.