CHARITY HAVILL (PA-C) – Physician Assistant, NPI 1639708035

CHARITY HAVILL (PA-C) is a healthcare provider. based in Hanover, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for CHARITY HAVILL (PA-C) is 1639708035

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CHARITY HAVILL (PA-C)
NPI
1639708035
Phone
(812) 677-2752
Address
163 W Main St
Enumeration Date
7 April 2020
Last Update Date
24 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122656800
Graduation Year
2020 (6 years ago)
PAC ID
2365860780
Group Practice PAC ID
9638233851
Professional Enrollment ID
I20200917001361
Address ID
IN472501627MA1801XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for CHARITY HAVILL (PA-C)

  • 163 W Main St

    Hanover, IN 472439477

    Phone: (812) 677-2752

    Type: Location

  • 163 W MAIN ST

    HANOVER, IN 472439477

    Phone: (812) 677-2752

    Type: Mailing

  • 1801 CLIFTY DR

    MADISON, IN 472501627

    Phone: (812) 265-6800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200917001361IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8662$0
81002Urinalysis, manual test2822$0
36415Insertion of needle into vein for collection of blood sample2723$0
99214Established patient office or other outpatient visit, 30-39 minutes2416$0
View full utilization report →

Insurance plans in this area (ZIP 47243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638233851View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Family PracticeIN

Reviews

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Frequently asked questions

Can I cross-check CHARITY HAVILL (PA-C) using NPI 1639708035?
NPI 1639708035 belongs to CHARITY HAVILL (PA-C); compare other details if you need extra assurance.
Is CHARITY HAVILL (PA-C) shown as active in public data?
Registry records indicate CHARITY HAVILL (PA-C) maintains an active NPI.
How would a patient describe CHARITY HAVILL (PA-C)'s focus?
For CHARITY HAVILL (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CHARITY HAVILL (PA-C) located near Hanover?
CHARITY HAVILL (PA-C) currently maps to Hanover, Indiana in this extract.
When was this NPI issued?
Enumeration for CHARITY HAVILL (PA-C) is noted as April 7, 2020 where the registry provides it.

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