Rylee Hackworth, PA
Medical Physician Assistant · Lagrange, IN
Rylee Hackworth, PA is a medical physician assistant with a practice address in Lagrange, Indiana, and NPI 1063104719, issued on May 22, 2023. Check the license (Indiana 10004694A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Rylee Hackworth
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 10004694A IN
Self-reported in NPPES; status is on the state search - Practice location
- 2500 N Detroit St, Lagrange, IN 46761
- Phone
- (260) 463-2133
- Enumerated
- May 22, 2023
- Record last updated
- Jan 9, 2025
- Fax
- (260) 463-3775
- Medicare enrollment
- Enrolled (PECOS I20250110002581); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2500 N Detroit St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Musa Abdalla, M. D.Family Medicine Physician1548552375
- Yusfa Ameir, NPFamily Nurse Practitioner1609677483
- Muhammad Arslan, MDInternal Medicine Physician1831838317
- Ahad Ayaz, MDInternal Medicine Physician1497160642
- Aditi Bawa, M.D.Internal Medicine Physician1184240269
- Courtney BoggsFamily Nurse Practitioner1861844037
Verify Rylee Hackworth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 10004694ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Northeast Internal Medicine Associates, PCLagrange, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
1 medical physician assistant records list a practice address in Lagrange
They are 1 of the 141 NPPES records with a practice address in Lagrange, and 405 medical physician assistant records in Indiana.
Other medical physician assistant records in Indiana
- Olivia Aguilar, PAMerrillville, IN1942571724
- Brandon Aiman, PAAnderson, IN1831124999
- David Allaben, PA-CIndianapolis, IN1508874983
- Junot BadetteIndianapolis, IN1598424095
- Christopher Bailey, PA-CFort Wayne, IN1154304764
- Daniel Balcerak, PA-CHammond, IN1356602460
- Andrea Banet, PA-CIndianapolis, IN1396903241
- Brilyn Banister, PA-CIndianapolis, IN1124634936
- Marielva Banks, PA-CHighland, IN1013431733
- Joshua Barajas, PA-CEvansville, IN1114660297
Common questions
What is Rylee Hackworth, PA's NPI number?
Rylee Hackworth, PA's National Provider Identifier (NPI) is 1063104719, issued on May 22, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Rylee Hackworth, PA located?
The NPPES record lists a practice address at 2500 N Detroit St, Lagrange, IN, 46761. Phone: (260) 463-2133. Providers update this record themselves, so call before visiting.
How can I verify Rylee Hackworth, PA's license?
NPPES lists Indiana license number 10004694A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.