Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Hewitt, PA

Individual provider Physician Assistant · NPI 1649621780

Audrey Hewitt, PA is a Physician Assistant in Bloomington, Indiana. Qualified in 2012, 14 years ago. Practices with Optima Dermatology LLC, a 74-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1010 W 2nd St
Bloomington, IN 47403-2217
Phone: (812) 200-2458
Fax: (930) 200-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223 — (317) 300-1788
  • 2155 E Main St, Plainfield, IN 46168-1816 — (855) 297-9689
  • 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 — (317) 732-8980

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001425A (IN)

Record details

NPI number1649621780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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