Individual provider Active NPI

Alyssa Hamilton

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1467324665
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10005017A Issued in IN
Practice address
8920 Southpointe Dr Ste D2
Indianapolis, IN 46227-7505
Phone
(317) 621-1006
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 10005017A IN Primary

Addresses

Primary practice location

8920 Southpointe Dr Ste D2
Indianapolis, IN 46227-7505

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547

Other practice location 1

3560 S 4th St
Terre Haute, IN 47802-5540
Phone (812) 235-8496

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014002337 IN Practitioner - Physician Assistant 5799272704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HPW Center for Diabetes LLCGroup PAC ID 9537568993, 9 clinicians

Practice addresses (Care Compare)

3560 S 4TH St
Terre Haute, IN 47802-5540
Phone (812) 235-8496

Hospital & facility affiliations

  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10005017AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Group LLC CurrentSince Sep 21, 2025 Accepting new patients
HPW Center for Diabetes, LLC CurrentSince Sep 24, 2025 Accepting new patients

Locations

463 S Park Ridge Rd
#101
Bloomington, IN 47401
Phone (812) 235-8496

2224 Lafayette Ave
Terre Haute, IN 47805
Phone (812) 235-8496

3560 S 4th St
Terre Haute, IN 47802
Phone (812) 235-8496

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1467324665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 SOUTHPOINTE DR STE D2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277505",
            "telephone_number": "317-621-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478025540",
            "country_code": "US",
            "telephone_number": "812-235-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005017A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.