Hannah Sumner Causseaux, APRN
Individual provider Active NPI Family Nurse Practitioner · Bristol, FL
NPI 1033834288 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1033834288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11020531 (FL)
- Practice address
- 10715 NW Judy Dr
Bristol, FL 32321-3317 - Phone
- (850) 899-6263
- NPI assigned
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calhoun-Liberty Hospital Association Inc
Practice addresses (Care Compare)
16257 State Rd 71
Blountstown, FL 32424-2808
Phone (850) 674-5411
Hospital & facility affiliations
- Calhoun-Liberty Hospital
- Tallahassee Memorial Healthcare
- Jackson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230111003260 | FL | Practitioner - Nurse Practitioner | 2163892993 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Calhoun Liberty Hospital Association, Inc. | Past | Accepting new patients |
Locations
20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000
16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
- hannah.causseaux.1@29055.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11020531 | FL | Yes |
Addresses
Primary practice location
10715 NW Judy Dr
Bristol, FL 32321-3317
Mailing address
10715 NW Judy Dr
Bristol, FL 32321-3317
Phone (850) 899-6263
Other providers in Bristol, FL
- Priscilla Renee Carlisle Braggs
- Bristol Youth Academy
- Tessa Byler
- Austin Tanner Cain
- Linder Carroll
- Chatter Pediatric Therapy PLLC
- Tai Zimmerman Cole
- Winter Collins
- Communication Station & Consulting, LLC
- Community Wellness Counseling and Support Services
All providers in Bristol, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.