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

Hailey Nosalik, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1366052714

Hailey Nosalik, PHYSICIANASSISTANT is a Physician Assistant in Maryville, Illinois. Qualified in 2020, 6 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

6812 State Route 162 Ste 120
Maryville, IL 62062-8586
Phone: (618) 288-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366052714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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