MEDICARE: ALYSSA HAMILTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10005017A	IN

General Provider Information

NPI Number	:	1467324665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA HAMILTON

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:	317-621-7547
Fax Number	:

Provider Business Practice Location Address
First Line	:	8920 SOUTHPOINTE DR STE D2
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-621-1006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	06/02/2026

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Directions to “ ALYSSA HAMILTON ” Practice Location

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