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HAILEY HODGSON PA-C
NPI 1821779778
Physician Assistant in Chicago, IL

Active since July 25, 2023PECOS Enrolled
5406 W FULLERTON AVE, CHICAGO, IL 60639(773) 466-7012 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hailey Hodgson Pa-c NPPES

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

HAILEY HODGSON PA-C (NPI 1821779778) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821779778
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHAILEY HODGSONCredential: PA-C
Location Address5406 W FULLERTON AVEChicago, IL 60639-1427
Mailing Address5406 W Fullerton AveChicago, IL 60639-1427 · (773) 466-7012
Phone(773) 466-7012
Sole ProprietorYes
Enumeration DateJuly 25, 2023
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1821779778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5406 W FULLERTON AVE, Chicago, IL 60639
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Hodgson Pa-c 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 60639 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 3

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

SARAI ALVAREZ PA-C
Physician Assistant (Medical)
5406 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 466-7012
NATALIE JO RUTZ PA-C
Physician Assistant
5406 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 341-2897
WORKFIT PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
5406 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 954-4333

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 Hailey Hodgson's NPI number?

The NPI number for Hailey Hodgson is 1821779778. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Hailey Hodgson located?

Hailey Hodgson practices at 5406 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 466-7012.

What is Hailey Hodgson's specialty?

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

Is Hailey Hodgson enrolled in Medicare?

Yes. Hailey Hodgson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hailey Hodgson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.