Hayden Michael Hopkins, PA-C
Individual provider Active NPI Physician Assistant · Raleigh, NC
NPI 1154895829 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1154895829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-13196 (NC)
- Practice address
- 3024 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-5318
- NPI assigned
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
1010 N Broadway
Yonkers, NY 10701-1330
Phone (212) 731-6761
5 E 98TH St
FL 7
New York, NY 10029-6501
Phone (212) 731-6761
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230602000117 | NC | Practitioner - Physician Assistant | 0840657011 | Reassigns benefits to 1 organization |
| I20250820001607 | NY | Practitioner - Physician Assistant | 0840657011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023159 | NY | MD | Occupational Therapist |
| 0010-13196 | NC | MD | Physician Assistant |
| 305900 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Wakemed Specialists Group LLC | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041
281 1st Ave
New York, NY 10003
Phone (212) 844-1808
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535
Interoperability endpoints
- hhopkins1141341@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 305900 | NC | |
| Medical Physician Assistant | 363AM0700X | 0010-13196 | NC | |
| Surgical Physician Assistant | 363AS0400X | 023159 | NY | |
| Physician Assistant | 363A00000X | 0010-13196 | NC | Yes |
Addresses
Primary practice location
3024 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-0351
Other practice location 1
281 1st Ave
New York, NY 10003-2925
Phone (212) 241-6500
Other practice location 2
2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476
Phone (919) 784-7874
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154895829 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hhopkins1141341@direct.unc.nchie.net | Direct |
Other providers in Raleigh, NC
- Russell P Hopfenberg
- Amanda Stewart Hopkins
- Amelie Sue Hopkins
- Chantelle Renee Hopkins
- Estrella Hopkins
- James Michael Hopkins
- Jared M Hopkins
- Sariah Marie Hopkins
- Tiffany Hopkins
- Madelon Wygand Hoppe
All providers in Raleigh, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.