Hina Anjum Siddiqui, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

105 Maple Row Blvd
Hendersonville, TN 37075-3853

Phone

(615) 266-3376

Fax

(615) 622-8736

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

Yes

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 TN

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innova Dermatology PCGroup PAC ID 7416298104, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Innova Dermatology PC

  • MOHS-Micrographic Surgery Physician
  • Hendersonville, TN
  • NPI 1801362231
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1861965378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-266-3376",
            "fax_number": "615-622-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-266-3376",
            "fax_number": "615-622-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "HINA",
        "middle_name": "ANJUM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andriah Shimer
• Erika Shiver, OT
• Melissa Richea Shoaf, RNC-OB
• Madyson Nicole Short
• Andrew Benjamin Sickman, MA, BCBA
• Megan Sides
• Nancy Elizabeth Sikes, OTR/L
• Isabella Maria Silva
• Kelly C Simkins, D.O.
• Anika Natakia Simmons

• Physician Assistant in Hendersonville, TN
• Providers in Hendersonville, 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 24, 2025; 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.