Individual provider Active NPI

Hiliary Neville, NP-C

  • Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1740850312
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1021657 Issued in TX
Practice address
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone
(888) 725-5422
Fax
(903) 501-1100
NPI assigned
Jun 28, 2021
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1021657 TX Primary
Family Nurse Practitioner 363LF0000X 1021657 TX
Registered Nurse 163W00000X 786542 TX
Gerontology Nurse Practitioner 363LG0600X 1021657 TX

Addresses

Primary practice location

5803 Stoneridge Dr
Texarkana, TX 75503-1461

Mailing address

118 Morghan LN
Texarkana, TX 75501-0925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819000289 TX Practitioner - Nurse Practitioner 8628473378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
786542TXMDRegistered Nurse
1021657TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pallicare, Inc CurrentSince Jul 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hiliary.neville.2@26850.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1740850312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MORGHAN LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755010925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "888-725-5422",
            "fax_number": "903-501-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "HILIARY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1021657",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021657",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "786542",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1021657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.