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MS. HISAYO HARA PELTON CNP
NPI 1649004557
Family Medicine in Dallas, TX

Active since September 02, 2024PECOS Enrolled
8418 LULLWATER DR, DALLAS, TX 75218(214) 503-0590 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Sep 2, 2024 (2 updates tracked since 2024).

About Ms. Hisayo Hara Pelton Cnp NPPES

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

MS. HISAYO HARA PELTON CNP (NPI 1649004557) is an individual family medicine provider in Dallas, Texas, licensed in Texas (1144651) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Maryville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649004557
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. HISAYO HARA PELTONCredential: CNP
Location Address8418 LULLWATER DRDallas, TX 75218-1150
Mailing Address8418 Lullwater DrDallas, TX 75218-1150 · (214) 732-7557
Phone(214) 503-0590
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 2, 2024
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1649004557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · 1144651
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2026003045 (MO)
8418 LULLWATER DR, Dallas, TX 75218
Open in Google Maps ↗

Secondary Practice Location 1

Location 12016 S Main StMaryville, MO 64468-2655 · Phone (660) 562-7039 · Fax (660) 562-7994

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Hisayo Hara Pelton Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325517923
PECOS Enrollment IDI20260513000677
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hisayo Pelton's NPI number?

The NPI number for Hisayo Pelton is 1649004557. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Hisayo Pelton located?

Hisayo Pelton practices at 8418 Lullwater Dr, Dallas, TX 75218. The listed phone number is (214) 503-0590.

What is Hisayo Pelton's specialty?

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

Is Hisayo Pelton enrolled in Medicare?

Yes. Hisayo Pelton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hisayo Pelton was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.