MRS. HILLARY LEE HINKSON PA-C
NPI 1053403766
Physician Assistant in Milwaukee, WI

NPI Status: Active since September 29, 2006

Contact Information

2885 N MAYFAIR RD
MILWAUKEE, WI
ZIP 53222
Phone: (414) 771-6780
Fax: (414) 238-2424

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  • Individual
  • Female
  • Physician Assistant
  • PECOS Enrolled

About HILLARY HINKSON

This page provides the complete NPI Profile along with additional information for Hillary Hinkson, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1053403766 assigned on September 2006. The practitioner's primary taxonomy code is 363A00000X with license number 2374-23 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1053403766
Provider Name
MRS. HILLARY LEE HINKSON PA-C
Other Name
HILLARY NYSTROM PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2885 N MAYFAIR RD MILWAUKEE, WI 53222
Location Phone
(414) 771-6780
Location Fax
(414) 238-2424
Mailing Address
10001 W INNOVATION DR STE 200 WAUWATOSA, WI 53226
Mailing Phone
(414) 771-6780
Mailing Fax
(414) 238-2424
Is Sole Proprietor?
No
Enumeration Date
09-29-2006
Last Update Date
04-06-2021
Code Navigator

A primary care provider (PCP) like Hillary Hinkson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 10610 N Port Washington Rd
    Mequon, WI 53092
    (414) 771-6780

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2374-23
License State
WI
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Hillary Hinkson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    5 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    5 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    5 DME suppliers used 14 Medicare Claims 81 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    5 DME suppliers used 40 Medicare Claims 40 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Diagnostic exam of nasal passages using an endoscope

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

This service was performed 28 times for 27 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 21 times for 20 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 14 times for 14 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 30 times for 30 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53222 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053403766, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 0 + 6 + 7 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053403766.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Allergy & Immunology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Audiologist
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Dentist
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Otolaryngology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Physician Assistant
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Nurse Practitioner
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Physician Assistant
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Physician Assistant
2885 N MAYFAIR RD
WAUWATCSA, WI 53222
Physician Assistant (Medical)
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Otolaryngology (Plastic Surgery within the Head & Neck)
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Physician Assistant
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Otolaryngology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Nurse Practitioner
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Nurse Practitioner
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Physician Assistant
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Physician Assistant
2885 N MAYFAIR RD
MILWAUKEE, WI 53222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053403766, enumerated as an "individual" on September 29, 2006.

The provider is located at 2885 N MAYFAIR RD MILWAUKEE, WI 53222 and the phone number is (414) 771-6780.

Physician Assistant with taxonomy code 363A00000X.