Active NPI
Hannah Statz Devries, MD
- Addiction Psychiatry Physician
- Sioux Falls, SD
National Provider Identifier
1023547486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 13303
- Practice address
- 4400 W 69TH St Ste 1500
Sioux Falls, SD 57108-8171 - Phone
- (605) 322-5700
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 125070057 | IL | |
| Addiction Psychiatry Physician | 2084P0802X | 13303 | SD | Primary |
Addresses
Primary practice location
4400 W 69TH St Ste 1500
Sioux Falls, SD 57108-8171
Mailing address
4400 W 69TH St Ste 1500
Sioux Falls, SD 57108-8171
Phone (605) 322-5700
Other names 1
- Hannah Grace Statz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220907002036 | SD | Practitioner - Psychiatry | 4082984299 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Sanford School of Medicine of University of South Dakota, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Sioux Falls, SD 57118-6370
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1023547486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W 69TH ST STE 1500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088171",
"telephone_number": "605-322-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 69TH ST STE 1500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088171",
"telephone_number": "605-322-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "HANNAH",
"middle_name": "STATZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "IL",
"license": "125070057",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "SD",
"license": "13303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "STATZ",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.