Individual provider Active NPI

Hannah Kukla, P.A.

  • Physician Assistant
  • Waynesboro, VA
National Provider Identifier
1013804459
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011079 Issued in VA
Practice address
201 Lew Dewitt Blvd Ste B
Waynesboro, VA 22980-1663
Phone
(540) 245-7940
Fax
(540) 245-7941
NPI assigned
Jun 19, 2025
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110011079 VA Primary

Addresses

Primary practice location

201 Lew Dewitt Blvd Ste B
Waynesboro, VA 22980-1663

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 332-5168

Other practice location 1

53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hannah.kukla.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014001581 VA Practitioner - Physician Assistant 1759878721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

2303 N Augusta St
Suite E
Staunton, VA 24401-2597
Phone (540) 886-4510

53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687

9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Sep 22, 2025 Accepting new patients
Augusta Medical Group CurrentSince Sep 22, 2025 Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

22 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-2630

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

1751 Erickson Ave
Harrisonburg, VA 22801
Phone (540) 433-3344

42 Lambert St
Ste 511
Staunton, VA 24401
Phone (540) 886-6259

2570 Stuarts Draft Hwy
Ste 101
Stuarts Draft, VA 24477
Phone (540) 245-7870

1 Green Hills Dr
Verona, VA 24482
Phone (540) 213-1201

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1013804459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-332-5168",
            "fax_number": "540-332-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LEW DEWITT BLVD STE B",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801663",
            "telephone_number": "540-245-7940",
            "fax_number": "540-245-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 S Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392333",
            "country_code": "US",
            "telephone_number": "540-332-5687",
            "fax_number": "540-332-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKLA",
        "first_name": "HANNAH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah.kukla.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "53 S Medical Park Dr",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.