Rylee Hackworth, PA
Rylee Hackworth, PA is a Physician Assistant in Lagrange, Indiana. Qualified in 2024, 2 years ago. Practices with Northeast Internal Medicine Associates, PC, a 53-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 2
- Licensed in
- IN
- In the registry since
- 2023
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2500 N Detroit StLagrange, IN 46761-1158
Phone: (260) 463-2133
Fax: (260) 463-3775
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 10004694A (IN) |
|---|
Record details
| NPI number | 1063104719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | May 22, 2023 |
| Last updated in NPPES | January 9, 2025 |
| Certification date | January 9, 2025 |
| Mailing address | Po Box 236, Lagrange, IN 46761-0236 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Northeast Internal Medicine Associates, Pc — 53 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |