Individual provider Active NPI

Jennifer Hinds, PA-C

  • Physician Assistant
  • Liverpool, NY
National Provider Identifier
1740649706
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029163 Issued in NY
Practice address
7375 Oswego Rd
Liverpool, NY 13090-3717
Phone
(315) 291-0064
NPI assigned
Feb 18, 2016
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2956 TN
Physician Assistant 363A00000X 085009420 IL
Physician Assistant 363A00000X 5601011446 MI
Physician Assistant 363A00000X 50007919RX OH
Physician Assistant 363A00000X 10003858A IN
Physician Assistant 363A00000X MA064574 PA
Physician Assistant 363A00000X 752623 WI
Physician Assistant 363A00000X 029163 NY Primary

Addresses

Primary practice location

7375 Oswego Rd
Liverpool, NY 13090-3717

Mailing address

122 Knollcrest LN
Rockwood, TN 37854-5604
Phone (865) 603-1283

Other practice location 1

19165 W Bluemound Rd
Brookfield, WI 53045-6076
Phone (262) 649-2780

Other practice location 2

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

Other practice location 3

1010 S Reed Rd
Kokomo, IN 46901-6248
Phone (765) 252-2176

Other practice location 4

6831 North Ave
Oak Park, IL 60302-1023
Phone (708) 298-0540

Other practice location 5

1175 M 89
Plainwell, MI 49080-1135
Phone (269) 204-3025

Other practice location 6

2880 Stelzer Rd
Columbus, OH 43219-3133
Phone (833) 620-1234

Other practice location 7

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI, IN, IL, NY, OH, PA7 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
I20160622002165 TN Practitioner - Physician Assistant 6901197912 Reassigns benefits to 2 organizations
I20221020001707 MI Practitioner - Physician Assistant 6901197912 Reassigns benefits to 2 organizations
I20221227000651 IN Practitioner - Physician Assistant 6901197912 Reassigns benefits to 1 organization
I20230109000899 IL Practitioner - Physician Assistant 6901197912 Reassigns benefits to 2 organizations
I20230116000418 NY Practitioner - Physician Assistant 6901197912 Reassigns benefits to 1 organization
I20230117000926 OH Practitioner - Physician Assistant 6901197912 Reassigns benefits to 1 organization
I20230802001956 PA Practitioner - Physician Assistant 6901197912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1009 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 986-4200

102 Sagamore Pkwy S
Lafayette, IN 47905-4745
Phone (765) 237-3224

123 S Franklin Rd
Bloomington, IN 47404-5296
Phone (812) 778-3116

1245 E Ireland Rd
Suite B
South Bend, IN 46614-3448
Phone (574) 312-7022

1425 Route 300
Newburgh, NY 12550-2908
Phone (845) 674-9735

15 S Main St
Suite 270
Jamestown, NY 14701-6629
Phone (716) 489-3144

200 E 1St St
Oswego, NY 13126-2662
Phone (315) 207-7391

200 E State St
Herkimer, NY 13350-2335
Phone (315) 619-3043

225 S Cascade Dr
Springville, NY 14141-9275
Phone (716) 599-1163

2524 N Illinois St
Swansea, IL 62226-2353
Phone (618) 212-3144

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

3475 S Alpine Rd
Rockford, IL 61109-2604
Phone (815) 874-8000

3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319

391 S Bolingbrook Dr
Bolingbrook, IL 60440-3411
Phone (630) 423-3030

4189 Veterans Memorial Dr
Batavia, NY 14020-1274
Phone (585) 201-5598

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566

573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

800 New Loudon Rd
Suite 1400
Latham, NY 12110-3900
Phone (518) 218-4200

8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006

917 S Saint Marys St
Saint Marys, PA 15857-2828
Phone (814) 389-1026

920 E Coliseum Boulevard
Physicians Urgent Care
Fort Wayne, IN 46805-1329
Phone (260) 498-8077

924 W Pike St
Physicians Urgent Care
Goshen, IN 46526-2365
Phone (574) 312-7056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2956TNMDMarriage & Family Therapist
029163NYMDPharmacist
5601011446MIMDPhysician Assistant
50007919RXOHMDPhysician Assistant
MA064574PAMDPhysician Assistant
752623WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Nov 14, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Pic Wisconsin SC PastSince Sep 19, 2019 Accepting new patients

Locations

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

4195 N Water St
Decatur, IL 62526
Phone (217) 775-6150

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

5801 S Transit Rd
Lockport, NY 14094
Phone (716) 280-6589

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

Organizations & group practices 9

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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1740649706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 KNOLLCREST LN",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "378545604",
            "telephone_number": "865-603-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903717",
            "telephone_number": "315-291-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19165 W Bluemound Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530456076",
            "country_code": "US",
            "telephone_number": "262-649-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Bolivar Dr",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167013125",
            "country_code": "US",
            "telephone_number": "814-817-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 S Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469016248",
            "country_code": "US",
            "telephone_number": "765-252-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6831 North Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603021023",
            "country_code": "US",
            "telephone_number": "708-298-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 M 89",
            "address_purpose": "LOCATION",
            "city": "Plainwell",
            "state": "MI",
            "postal_code": "490801135",
            "country_code": "US",
            "telephone_number": "269-204-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Stelzer Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432193133",
            "country_code": "US",
            "telephone_number": "833-620-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113847",
            "country_code": "US",
            "telephone_number": "423-559-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDS",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2956",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009420",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011446",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50007919RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003858A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064574",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "752623",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.