Individual provider Active NPI

Hillary Lee Hinkson, PA-C

  • Physician Assistant
  • Mequon, WI
National Provider Identifier
1053403766
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2374-23 Issued in WI
Practice address
10610 N Port Washington Rd
Mequon, WI 53092-5013
Phone
(888) 938-3838
NPI assigned
Sep 29, 2006
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2374-23 WI Primary

Addresses

Primary practice location

10610 N Port Washington Rd
Mequon, WI 53092-5013

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other names 1

  • Hillary Nystrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20260202000300 DC Practitioner - Physician Assistant 8426084229 Reassigns benefits to 1 organization
I20260202002781 MD Practitioner - Physician Assistant 8426084229 Reassigns benefits to 1 organization
I20260218003769 VA Practitioner - Physician Assistant 8426084229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12850 Middlebrook Rd
Suite 250
Germantown, MD 20874-5278
Phone (703) 729-3420

6000 Executive Blvd
Suite 604
North Bethesda, MD 20852-3830
Phone (703) 729-3420

621 Ridgely Ave
Suite 402
Annapolis, MD 21401-1099
Phone (703) 729-3420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2374-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Care Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Comprehensive Sleep Care Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Comprehensive Sleep Care Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Advanced Pain Management SC Past Accepting new patients

Locations

621 Ridgely Ave
Ste 402
Annapolis, MD 21401

6000 Executive Blvd
Ste 604
North Bethesda, MD 20852

19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474

19441 Golf Vista Plz
Ste 310
Leesburg, VA 20176

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1053403766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925013",
            "telephone_number": "888-938-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKSON",
        "first_name": "HILLARY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2374-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "NYSTROM",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.