Individual provider Active NPI

Hilary Phillips, PA-C

  • Physician Assistant
  • Greencastle, IN
National Provider Identifier
1891519856
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1111 S Calbert Way
Greencastle, IN 46135-2401
Phone
(765) 301-7030
NPI assigned
Nov 14, 2024
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1111 S Calbert Way
Greencastle, IN 46135-2401

Mailing address

742 S Harvey Ave
Oak Park, IL 60304-1519
Phone (708) 829-2258

Other practice location 1

1542 S Bloomington St
Greencastle, IN 46135-2297
Phone (765) 301-7030

Other practice location 2

742 S Harvey Ave
Oak Park, IL 60304-1519
Phone (708) 829-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260624001633 AZ Practitioner - Physician Assistant 0547786055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2945 S Dobson Rd
Mesa, AZ 85202-7941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1891519856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 S HARVEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041519",
            "telephone_number": "708-829-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S CALBERT WAY",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352401",
            "telephone_number": "765-301-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461352297",
            "country_code": "US",
            "telephone_number": "765-301-7030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 S Harvey Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603041519",
            "country_code": "US",
            "telephone_number": "708-829-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HILARY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.