Rylee Hackworth, PA
NPI 1063104719 · Medical Physician Assistant · Lagrange, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rylee Hackworth, PA is a Medical Physician Assistant provider in Lagrange, IN (NPI 1063104719).
Provider details
- NPI number
- 1063104719
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 10004694A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Frequently asked questions
- What is Rylee Hackworth's NPI number?
- Rylee Hackworth's National Provider Identifier (NPI) is 1063104719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rylee Hackworth's specialty?
- Rylee Hackworth is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rylee Hackworth located?
- Rylee Hackworth's practice location on file with NPPES is 2500 N Detroit St, Lagrange, IN 46761-1158.
- What is Rylee Hackworth's phone number?
- The practice phone number listed in the NPPES registry for Rylee Hackworth is (260) 463-2133.
- Does Rylee Hackworth accept Medicare?
- Rylee Hackworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rylee Hackworth's NPI active?
- Yes — Rylee Hackworth's NPI (1063104719) is active in the NPPES registry as of the last update on 2025-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.