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RYLEE HACKWORTH PA
NPI 1063104719
Physician Assistant - Medical in Lagrange, IN

Active since May 22, 2023PECOS EnrolledAccepts Medicare Assignment
2500 N DETROIT ST, LAGRANGE, IN 46761(260) 463-2133(260) 463-3775 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2025, May 22, 2023 (2 updates tracked since 2023).

About Rylee Hackworth Pa NPPES

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

RYLEE HACKWORTH PA (NPI 1063104719) is an individual medical provider in Lagrange, Indiana, licensed in Indiana (10004694A) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063104719
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRYLEE HACKWORTHCredential: PA
Location Address2500 N DETROIT STLagrange, IN 46761-1158
Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775
Phone(260) 463-2133
Fax(260) 463-3775
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2023
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1063104719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10004694A
2500 N DETROIT ST, Lagrange, IN 46761
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Rylee Hackworth Pa 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 ID9931637485
PECOS Enrollment IDI20250110002581
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.

Hospital Affiliations CMS Care Compare 4

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

CHELSEA LAUREN MAUCHER NP
Nurse Practitioner (Acute Care)
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
DR. SHILPA KASHYAP MD
Radiology (Diagnostic Radiology)
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
BLAKE WEIMER NP
Nurse Practitioner (Family)
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
VIJAY G.T. KAMINENI M.D.
Internal Medicine
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
MRS. LAUREN FIANDT AGNP-BC
Nurse Practitioner
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
AQSA KHAN MD
Internal Medicine
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
MCKENNA LORRAINE JUDAY FNP
Nurse Practitioner (Family)
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133
NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
Internal Medicine
2500 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2133

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 Rylee Hackworth's NPI number?

The NPI number for Rylee Hackworth is 1063104719. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Rylee Hackworth located?

Rylee Hackworth practices at 2500 N Detroit St, Lagrange, IN 46761. The listed phone number is (260) 463-2133.

What is Rylee Hackworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rylee Hackworth enrolled in Medicare?

Yes. Rylee Hackworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rylee Hackworth accept?

Health plans from CareSource list Rylee Hackworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rylee Hackworth affiliated with any hospitals?

According to CMS data, Rylee Hackworth is affiliated with Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital and Parkview Wabash Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Rylee Hackworth was last updated on January 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.