Hadley Rebecca Hilburn, PA
Individual provider Active NPI Physician Assistant · Jonesboro, AR
NPI 1841923943 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1841923943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-1308 (AR)
- Practice address
- 4802 E Johnson Ave
Jonesboro, AR 72405-8413 - Phone
- (870) 936-8000
- Fax
- (870) 934-3633
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Arkansas Clinic Charitable Foundation, Inc.
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
Hospital & facility affiliations
- Baptist Memorial Hospital Jonesboro, Inc.
- St Bernards Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241011002316 | AR | Practitioner - Physician Assistant | 2860924115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1308 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current |
Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1308 | AR | Yes |
Addresses
Primary practice location
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Mailing address
PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000
Other providers in Jonesboro, AR
- Chelsea Lee Higgins
- Christen Ann Higgins
- Clifton C Higgins
- Melanie Ann Higgins
- Michael D. Hightower
- Anna Hill
- Bradley Hill
- Calmesha Hill
- Connie H Hill
- Crystal Marie Hill
All providers in Jonesboro, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.