Individual provider Active NPI

Haylie Alexis Hendrickson

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1144978776
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6530 Issued in TN
Practice address
214 Sycamore St Apt 2401
Evansville, IN 47708-1231
Phone
(260) 579-8538
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 6530 TN Primary

Addresses

Primary practice location

214 Sycamore St Apt 2401
Evansville, IN 47708-1231

Mailing address

214 Sycamore St Apt 2401
Evansville, IN 47708-1231
Phone (260) 579-8538

Other practice location 1

276 Warfield Blvd
Clarksville, TN 37043-1828
Phone (931) 551-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251028003484 TN Practitioner - Physician Assistant 3274022447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2135 Waterside Dr Unit
Suite 708
Nashville, TN 37207-3163

276 Warfield Blvd
Clarksville, TN 37043-1828

276 Warfield Blvd
Clarksville, TN 37043-5952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6530TNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neelam Patel MD Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

276 Warfield Blvd
Clarksville, TN 37043
Phone (931) 302-2184

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1144978776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SYCAMORE ST APT 2401",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081231",
            "telephone_number": "260-579-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SYCAMORE ST APT 2401",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081231",
            "telephone_number": "260-579-8538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Warfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370431828",
            "country_code": "US",
            "telephone_number": "931-551-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "HAYLIE",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.