Individual provider Active NPI

Kaitlin Elizabeth Hilliard, PA-C

  • Physician Assistant
  • Salem, VA
National Provider Identifier
1093172686
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005192 Issued in VA
Practice address
1917 Electric Rd
Salem, VA 24153-7424
Phone
(540) 404-4251
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 0110005192 VA Primary

Addresses

Primary practice location

1917 Electric Rd
Salem, VA 24153-7424

Mailing address

PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160329001222 VA Practitioner - Physician Assistant 6406153915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

108 Houston St
Suite 2B
Lexington, VA 24450-2455
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 982-0237

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Aug 30, 2024 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

1 Arh Ln
Ste 300
Low Moor, VA 24457
Phone (540) 862-6223

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7377

390 S Main St
Ste 103
Rocky Mount, VA 24151
Phone (540) 483-7933

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1995 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-1983

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1093172686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537424",
            "telephone_number": "540-404-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "KAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.