Individual provider Active NPI

Robert A Hill, P.A.-C

  • Physician Assistant
  • Port Huron, MI
National Provider Identifier
1255369658
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004755RX Issued in OH
Practice address
1221 Pine Grove Ave
McLaren Port Huron - Emergency Medicine Department
Port Huron, MI 48060-3511
Phone
(810) 989-3300
Fax
(810) 985-2671
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00636600 NJ
Physician Assistant 363A00000X 020765 NY
Physician Assistant 363A00000X 10004259A IN
Physician Assistant 363A00000X 5601004156 MI
Physician Assistant 363A00000X 50.004755RX OH Primary

Addresses

Primary practice location

1221 Pine Grove Ave
McLaren Port Huron - Emergency Medicine Department
Port Huron, MI 48060-3511

Mailing address

1221 Pine Grove Ave
McLaren Port Huron - Emergency Medicine Department
Port Huron, MI 48060-3511
Phone (810) 989-3300

Other practice location 1

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2699

Other identifiers 2

IdentifierTypeStateIssuer
1255369658MedicaidMI
0202724MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, NY, NH, WI, NJ, IN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050613001177 MI Practitioner - Physician Assistant 3971547787 Reassigns benefits to 3 organizations
I20161101000718 OH Practitioner - Physician Assistant 3971547787 Reassigns benefits to 3 organizations
I20180829004500 NY Practitioner - Physician Assistant 3971547787 Reassigns benefits to 3 organizations
I20190916000999 NH Practitioner - Physician Assistant 3971547787 Reassigns benefits to 1 organization
I20200205001274 WI Practitioner - Physician Assistant 3971547787 Reassigns benefits to 1 organization
I20201015002243 NJ Practitioner - Physician Assistant 3971547787 Reassigns benefits to 1 organization
I20241015001784 IN Practitioner - Physician Assistant 3971547787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

Merit-based Incentive Payment System (MIPS)

Final score
98.08 of 100Reported as group
Quality
89.29
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
020765NYMDPharmacist
1341NHMDOccupational Therapist
10004259AINMDPhysician Assistant
5601004156MIMDPhysician Assistant
25MP00636600NJMDPhysician Assistant
50.004755RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 15, 2020 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Riverview Hospital CurrentSince Mar 1, 2025 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

Interoperability endpoints

  • Direct secure messaging: rhill1177064@direct.osumc.edu

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1255369658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "address_2": "MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-989-3300",
            "fax_number": "810-985-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "address_2": "MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-989-3300",
            "fax_number": "810-985-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00636600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020765",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004259A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004156",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004755RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255369658",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.