Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Hisayo Hara Pelton, CNP

Individual provider Family Nurse Practitioner · NPI 1649004557

MS. Hisayo Hara Pelton, CNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri and Texas.

Years since qualifying
3
Licensed in
MO, TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

8418 Lullwater Dr
Dallas, TX 75218-1150
Phone: (214) 503-0590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2016 S Main St, Maryville, MO 64468-2655 — (660) 562-7039

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1144651 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2026003045 (MO)

Record details

NPI number1649004557
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedSeptember 2, 2024
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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