Active NPI
Haley Elizabeth Hines, PA-C
- Physician Assistant
- Leo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- NA
- Practice address
- 14807 Flint Creek Xing
Leo, IN 46765-9236 - Phone
- (260) 433-7633
- NPI assigned
- Jan 15, 2025
- Last updated
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NA | IN | Primary |
Addresses
Primary practice location
14807 Flint Creek Xing
Leo, IN 46765-9236
Mailing address
14807 Flint Creek Xing
Leo, IN 46765-9236
Phone (260) 433-7633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117
424 Williams St
Angola, IN 46703-1556
Phone (260) 426-8117
7926 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 426-8117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Fort Wayne, IN
- NPI 1851377691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1225849631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14807 FLINT CREEK XING",
"city": "LEO",
"state": "IN",
"postal_code": "467659236",
"telephone_number": "260-433-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14807 FLINT CREEK XING",
"city": "LEO",
"state": "IN",
"postal_code": "467659236",
"telephone_number": "260-433-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "HALEY",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.