HANNAH RAE RUDOLPH
NPI 1003540204
Physician Assistant in Greenwood, IN

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
2800 S STATE ROAD 135 STE 250, GREENWOOD, IN 46143(317) 300-1788(317) 743-8103 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2024, Jul 13, 2022 (2 updates tracked since 2022).

About Hannah Rae Rudolph NPPES

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

HANNAH RAE RUDOLPH (NPI 1003540204) is an individual physician assistant in Greenwood, Indiana, licensed in Indiana (10004442A) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Indianapolis, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003540204
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH RAE RUDOLPH
Location Address2800 S STATE ROAD 135 STE 250Greenwood, IN 46143-6223
Mailing Address111 New Hampshire Ave Ste 2Portsmouth, NH 03801-2864
Fax(317) 743-8103
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 13, 2022
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1003540204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10004442A
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2800 S STATE ROAD 135 STE 250, Greenwood, IN 46143

Accepted Insurance

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

Hannah Rae Rudolph 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.

PECOS PAC ID8729526173
PECOS Enrollment IDI20240815003025
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
219 services43 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
69 services68 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
57 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services53 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
56 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Dermatology
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 46143
Dermatology
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 46143
Nurse Practitioner (Family)
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 46143
Dermatology
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 46143
Dermatology (MOHS-Micrographic Surgery)
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 46143
Physician Assistant (Medical)
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 46143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003540204, enumerated as an "individual" on July 13, 2022.

The provider is located at 2800 S STATE ROAD 135 STE 250 GREENWOOD, IN 46143 and the phone number is (317) 300-1788.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Hannah Rudolph is affiliated with: FRANCISCAN HEALTH INDIANAPOLIS.