HAYDEN ELIZABETH BAGNELL-PETTINE PA-C
NPI 1801778568
Physician Assistant in Chicago, IL

Q: What is Hayden Bagnell-pettine's NPI number?

The NPI number for Hayden Bagnell-pettine is 1801778568. It was assigned to this individual provider in the NPPES registry on July 23, 2025. The provider is also known as Hayden Pettine Pa-C.

Q: What is Hayden Bagnell-pettine's specialty?

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

Active since July 23, 2025PECOS EnrolledAccepts Medicare Assignment

1611 W HARRISON ST STE 400, CHICAGO, IL 60612(877) 632-6637 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hayden Elizabeth Bagnell-pettine Pa-c NPPES

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

HAYDEN ELIZABETH BAGNELL-PETTINE PA-C (NPI 1801778568) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085011526) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801778568

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHAYDEN ELIZABETH BAGNELL-PETTINECredential: PA-C

Location Address1611 W HARRISON ST STE 400Chicago, IL 60612-4861

Mailing AddressPo Box 735263Chicago, IL 60673-5263

Phone(877) 632-6637

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 23, 2025

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1801778568 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 IL · 085011526

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.

1611 W HARRISON ST STE 400, Chicago, IL 60612

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Other Names 1

Former Name (1)Hayden Pettine Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Hayden Elizabeth Bagnell-pettine Pa-c 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 ID1153822812

PECOS Enrollment IDI20250903001068, I20251021000727

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 60612 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.

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. CHIZITAM IBEZIM MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)