Katherine Elisabeth Hulsey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003487A Issued in IN

Practice address

1931 Lincoln Ave Ste C
Evansville, IN 47714

Phone

(812) 488-5640

Fax

(877) 471-0651

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  KY

  Medicare reassignment
• University of Evansville

  • Adolescent and Children Mental Health Clinic/Center
  • Evansville, IN
  • NPI 1265211288
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1023769213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 LINCOLN AVE STE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-488-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 LINCOLN AVE STE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-488-5640",
            "fax_number": "877-471-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "KATHERINE",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003487A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetria Hughes
• Jackie Hughes, MSW
• Kristina Marie Hughes, COMS, TVI, CVRT
• Gina T Huhnke, MD
• Ashlyn Bree Hulfachor
• Annemarie Judith Humphress, DNP
• Dana Michelle Humphrey, FNP
• Linda Humphrey, MS, RD, CD, CDE
• Kathleen M Hunt, MSSW LCSW
• Jeffrey D Hunter, MD

• Physician Assistant in Evansville, IN
• Providers in Evansville, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.