MS. HISAYO HARA PELTON CNP
NPI 1649004557
Family Medicine in Dallas, TX
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, is affiliated with Mosaic Life Care At St Joseph, and maintains a secondary practice location in Maryville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Hisayo Hara Pelton Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mosaic Life Care At St Joseph
Acute Care Hospitals · Saint Joseph, MOPhysician 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Hisayo Pelton affiliated with any hospitals?
According to CMS data, Hisayo Pelton is affiliated with Mosaic Life Care At St Joseph.
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 6 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.
# Ms. Hisayo Hara Pelton, CNP · NPI 1649004557
Family Medicine physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since September 2, 2024.
## Identity
- **NPI:** 1649004557 (Entity type: Individual)
- **Enumerated:** September 2, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 1144651 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8418 LULLWATER DR, Dallas, TX 75218-1150
- **Phone:** (214) 503-0590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649004557) · Data from the CMS NPPES public registry.