Individual provider Active NPI

Andrea Hayden

  • Medical Physician Assistant
  • Hoffman Estates, IL
National Provider Identifier
1235257031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1555 Barrington Rd
Suite 3450
Hoffman Estates, IL 60194-1019
Phone
(847) 882-2400
Fax
(847) 884-7222
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X IL Primary

Addresses

Primary practice location

1555 Barrington Rd
Suite 3450
Hoffman Estates, IL 60194-1019

Mailing address

1555 Barrington Rd
Suite 3450
Hoffman Estates, IL 60194-1019
Phone (847) 882-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085001827ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Creek Family Practice Past Accepting new patients
Bonaventure Medical Foundation, LLC PastSince Jun 1, 2012 Accepting new patients
Epic Medical, PLLC PastSince Jan 12, 2025 Accepting new patients
Epic Medical, PLLC PastSince Mar 27, 2022 Accepting new patients

Organizations & group practices 4

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235257031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 3450",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601941019",
            "telephone_number": "847-882-2400",
            "fax_number": "847-884-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 3450",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601941019",
            "telephone_number": "847-882-2400",
            "fax_number": "847-884-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.