1. Home
  2. Directory
  3. Kentucky
  4. Crestview Hills
  5. Physician Assistant
  6. NPI Profile

GARY JAMES HACKETT PA-C
NPI 1003081258
Physician Assistant - Surgical in Crestview Hills, KY

Active since April 29, 2008
2845 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017(859) 426-4200(859) 426-4206 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary James Hackett Pa-c NPPES

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

GARY JAMES HACKETT PA-C (NPI 1003081258) is an individual surgical provider in Crestview Hills, Kentucky, licensed in Kentucky (PA1110) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1003081258
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGARY JAMES HACKETTCredential: PA-C
Location Address2845 CHANCELLOR DRCrestview Hills, KY 41017-3418
Mailing Address560 S Loop RdEdgewood, KY 41017-3405 · (859) 301-2663 · Fax (859) 301-0655
Phone(859) 426-4200
Fax(859) 426-4206
Sole ProprietorNo
Enumeration DateApril 29, 2008
Last NPPES UpdateJanuary 21, 2014
✔ NPI 1003081258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in KY · PA1110
2845 CHANCELLOR DR, Crestview Hills, KY 41017
Open in Google Maps ↗

Other Identifiers 4

Medicaid7100050170KY
Medicare PIN0389221KY
OtherCB8861KY · Railroad Medicare
Medicare PINP00813821KY

Other Providers at the Same Location NPPES 14

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

DORIAN WOOD MD
Orthopaedic Surgery
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-2663
DR. MICHAEL JASON WALLS M.D.
Pain Medicine (Interventional Pain Medicine)
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-2663
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Orthopaedic Surgery
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 426-4200
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC
Nurse Practitioner (Primary Care)
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-3412
INDEPENDENT ANESTHESIOLOGISTS, PSC
Anesthesiology
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-7246
CHARLES ROBERTS MD
Pain Medicine (Interventional Pain Medicine)
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-2663
MS. LISA M. STROUD CNP
Nurse Practitioner
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-2663
BRANDON KOHRS D.O.
Orthopaedic Surgery
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-2663

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 Gary Hackett's NPI number?

The NPI number for Gary Hackett is 1003081258. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Gary Hackett located?

Gary Hackett practices at 2845 Chancellor Dr, Crestview Hills, KY 41017. The listed phone number is (859) 426-4200.

What is Gary Hackett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Gary Hackett was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.