MRS. LORI LYNNE HARDACKER PA
NPI 1780612952
Physician Assistant in Goodyear, AZ

Active since June 28, 2006PECOS Enrolled
13555 W MCDOWELL RD, SUITE 101, GOODYEAR, AZ 85395(623) 935-4700(623) 935-4707 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lori Lynne Hardacker Pa NPPES

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

MRS. LORI LYNNE HARDACKER PA (NPI 1780612952) is an individual physician assistant in Goodyear, Arizona, licensed in Arizona (4617) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780612952
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LORI LYNNE HARDACKERCredential: PA
Location Address13555 W MCDOWELL RD, SUITE 101Goodyear, AZ 85395-2624
Mailing Address9250 N. 3rd St, Suite 4010Phoenix, AZ 85020 · (602) 633-3838 · Fax (602) 633-3841
Fax(623) 935-4707
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 11, 2013
NPI 1780612952 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 AZ · 4617
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.
13555 W MCDOWELL RD, Goodyear, AZ 85395

Other Identifiers 2

Medicare PINZ138316AZ
Medicaid526932AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Lori Lynne Hardacker Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

Urology
13555 W MCDOWELL RD, SUITE 304
GOODYEAR, AZ 85395
Nurse Practitioner (Family)
13555 W MCDOWELL RD
GOODYEAR, AZ 85395
Surgery
13555 W MCDOWELL RD, SUITE 204
GOODYEAR, AZ 85395
Physician Assistant
13555 W MCDOWELL RD
GOODYEAR, AZ 85395
Durable Medical Equipment & Medical Supplies
13555 W MCDOWELL RD, SUITE 201
GOODYEAR, AZ 85395
Internal Medicine (Hematology & Oncology)
13555 W MCDOWELL RD, SUITE 210
GOODYEAR, AZ 85395
Urology
13555 W MCDOWELL RD, 304
GOODYEAR, AZ 85395
Internal Medicine (Rheumatology)
13555 W MCDOWELL RD, SUITE 209
GOODYEAR, AZ 85395

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 Lori Hardacker's NPI number?

The NPI number for Lori Hardacker is 1780612952. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Lori Hardacker located?

Lori Hardacker practices at 13555 W Mcdowell Rd Suite 101, Goodyear, AZ 85395. The listed phone number is (623) 935-4700.

What is Lori Hardacker's specialty?

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

Is Lori Hardacker enrolled in Medicare?

Yes. Lori Hardacker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lori Hardacker was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.