Individual provider Active NPI

Hailey Knecht

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1487327797
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003489A Issued in IN
Practice address
312 E Louisiana St
Indianapolis, IN 46204-3811
Phone
(317) 726-7147
NPI assigned
Aug 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 10003489A IN Primary

Addresses

Primary practice location

312 E Louisiana St
Indianapolis, IN 46204-3811

Mailing address

312 E Louisiana St
Indianapolis, IN 46204-3811
Phone (317) 726-7147

Other practice location 1

1985 E Old Rushville Rd
Shelbyville, IN 46176-9569
Phone (317) 726-7147

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
I20220209002283 IN Practitioner - Physician Assistant 9638562945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8581

275 W Bassett Rd
Shelbyville, IN 46176-8575

Hospital & facility affiliations

  • Major Hospital Hospital, Shelbyville, IN, CCN 150097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Nov 6, 2024 Accepting new patients
Major Multispecialty Associates CurrentSince Nov 6, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

275 W Bassett Rd
Ste 2
Shelbyville, IN 46176
Phone (317) 392-0003

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1487327797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E LOUISIANA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043811",
            "telephone_number": "317-726-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E LOUISIANA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043811",
            "telephone_number": "317-726-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 E Old Rushville Rd",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461769569",
            "country_code": "US",
            "telephone_number": "317-726-7147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "HAILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003489A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.