Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063104719 Individual Practitioner Female Practitioner

Rylee Hackworth , PA

Physician Assistant - Medical • Lagrange, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rylee Hackworth, PA is a certified Physician Assistant - Medical practicing in Lagrange, IN. With approximately 2 years of clinical experience since completing medical education in 2024, Rylee Hackworth delivers high-quality medical care to the local community at 2500 N DETROIT ST.

Rylee Hackworth is affiliated with Northeast Internal Medicine Associates, Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2500 N Detroit St

Lagrange, IN 467611158

Telephone 2604632133
Fax 2604633775
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Lagrange, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs Matches City Avg
City Avg: 2.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Lagrange, IN (413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hackworth (2 Years) 2 Yrs
Lagrange Specialty Average (2.0 Years) 2.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-09
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License IN 10004694A

Definition to come...

Hospital & Practice Group Affiliations

Northeast Internal Medicine Associates, Pc

2500 N Detroit St, Lagrange, IN 467611158

Phone: 2604632133

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Chelsea Maucher , NP

Nurse Practitioner - Acute Care

NPI 1003353038

Nurse Practitioner

Dr. Shilpa Kashyap , MD

Radiology - Diagnostic Radiology

NPI 1003888116

Doctor of Medicine (M.D.)

Blake Weimer , NP

Nurse Practitioner - Family

NPI 1023732443

Nurse Practitioner

Dr. Vijay Kamineni , MD

Internal Medicine

NPI 1043278294

Doctor of Medicine (M.D.)

Lauren Fiandt , AGNP-BC

Nurse Practitioner

NPI 1114449329

Adult-Gerontology Nurse Practitioner (Board Certified)

Dr. Hasan Ilyas , MD

Internal Medicine

NPI 1144908567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 09, 2025

Registered at 2500 N DETROIT ST, LAGRANGE, IN 467611158 (Tel: 2604632133)

📍
Updated Business Mailing Address January 09, 2025

Registered at PO BOX 236, LAGRANGE, IN 467610236 (Tel: 2604632133)

👤
Provider Name / Credentials Updated January 09, 2025

Recorded as RYLEE HACKWORTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2025

Physician Assistant (License #10004694A in IN)

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 333 MURFREESBORO PIKE, NASHVILLE, TN 372102877 (Tel: 6152481225)

📍
Updated Business Mailing Address May 22, 2023

Registered at 333 MURFREESBORO PIKE, NASHVILLE, TN 372102877

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as RYLEE HACKWORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063104719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: January 09, 2025
Sole Proprietor: No

Mailing Address

Po Box 236

Lagrange, IN 467610236

Phone: 2604632133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.