Jennifer Hinders, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000003093 Issued in TN

Practice address

11779 Village Center St
Arlington, TN 38002-5893

Phone

(228) 806-0854

NPI assigned

Nov 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 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 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Skin Cancer Associates, PLLCGroup PAC ID 2163501834, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Dermatology and Skin Cancer Associates, PLLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Germantown, TN
  • NPI 1265604888

  MS

  Medicare reassignment Care Compare group
• Semmes-Murphey Clinic PC

  • Neurological Surgery Physician
  • Memphis, TN
  • NPI 1477571891

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1477096345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11779 VILLAGE CENTER ST",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11779 VILLAGE CENTER ST",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025893",
            "telephone_number": "228-806-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERS",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000003093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Senior Transport Services LLC (HSTServices LLC)
• Honeye Heydari, FNP
• Johnice Hicks
• Higginbotham Dental Group, PLLC
• Lindsey Hightower, LPC-MHSP
• Kelvin Hinton, NP-C
• Ronald Earl Hopson
• Karma Howard
• In-Home MD PLLC
• Marie Martell Isbell, MA, CCC-SLP

• Physician Assistant in Arlington, TN
• Providers in Arlington, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.

Verify at the official NPI Registry.