Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KACIANNA HARDSOCK PA-C
NPI 1306460290
Physician Assistant in Palos Heights, IL

Q: What is Kacianna Hardsock's NPI number?

The NPI number for Kacianna Hardsock is 1306460290. It was assigned to this individual provider in the NPPES registry on June 5, 2020. The provider is also known as Kaci Hardsock Pa-C.

Q: What is Kacianna Hardsock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kacianna Hardsock was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2020PECOS Enrolled

12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463(708) 923-4200(708) 923-4201 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Mar 14, 2023, Jun 5, 2020 (3 updates tracked since 2020).

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About Kacianna Hardsock Pa-c NPPES

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

KACIANNA HARDSOCK PA-C (NPI 1306460290) is an individual physician assistant in Palos Heights, Illinois, licensed in Illinois (085012242) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306460290

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKACIANNA HARDSOCKCredential: PA-C

Location Address12251 S 80TH AVE STE 1520Palos Heights, IL 60463-1290

Mailing Address12251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290 · (708) 923-4200 · Fax (708) 923-4201

Phone(708) 923-4200

Fax(708) 923-4201

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 5, 2020

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1306460290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085012242

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA.0007720 (CO)

12251 S 80TH AVE STE 1520, Palos Heights, IL 60463

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Other Names 1

Other Name (5)Kaci Hardsock Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kacianna Hardsock Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466861935

PECOS Enrollment IDI20260601000136

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

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

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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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.

DR. MAITRAYEE SUNDARESAN VADALI MD

Internal Medicine (Cardiovascular Disease)