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
8 nearest medical physician assistant records → All 405 in Indiana → Look up another NPI →
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).
Rylee Hackworth among 405 medical physician assistant records in Indiana
Rylee Hackworth, PA is one of 405 medical physician assistant records with a practice address in Indiana. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 83% of them.
- NPI issued2023 · 83% of these records are older, 12% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2024 · median 2017 among the 268 with a school on file
- Record last updated2025 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 medical physician assistant record lists 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.
All 405 in Indiana → Every provider in Lagrange → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Diane Byers, PA-CKendallville, IN 467551982686820
- Nicholas Hammond, P.A.Fort Wayne, IN 468021265618722
- Daniel ButlerFort Wayne, IN 468041144090507
- Mark Fisher, PA-CFort Wayne, IN 468041144215153
- Jenifer Fortney, PA-CFort Wayne, IN 468041073963351
- Ethan Jones, PA-CFort Wayne, IN 468041205659059
- Jennifer Myers, PACFort Wayne, IN 468041760765945
- Delaney PartykaFort Wayne, IN 468041891625604
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.