Individual provider Active NPI

Christina Marie Hannah, PA

  • Family Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1073089926
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA2018-0064 Issued in NM
Practice address
184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Phone
(505) 896-0928
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA2018-0064 NM Primary

Addresses

Primary practice location

184 Unser Blvd NE
Rio Rancho, NM 87124-4045

Mailing address

PO Box 740018
Atlanta, GA 30374-0018
Phone (312) 733-9730

Other practice location 1

1625 Rio Bravo Blvd SW Ste 36
Albuquerque, NM 87105-6060
Phone (505) 777-3004

Other practice location 2

333 Montano Rd NW Ste A1
Albuquerque, NM 87107-5200
Phone (505) 777-3003

Other practice location 3

5555 Zuni Rd SE Ste 11
Albuquerque, NM 87108-2935
Phone (505) 777-3002

Other practice location 4

4208 Central Ave SW Ste G
Albuquerque, NM 87105-1695
Phone (505) 777-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20181222000230 NM Practitioner - Physician Assistant 4688919434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of New Mexico LLCGroup PAC ID 4981001096, 26 clinicians

Practice addresses (Care Compare)

333 Montano Rd NW
Suite A1
Albuquerque, NM 87107-5200
Phone (505) 777-3003

4208 Central Ave SW G
Oak Street Health Atrisco
Albuquerque, NM 87105-1695
Phone (505) 777-3001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2018-0064NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Nov 19, 2018 Accepting new patients
Presbyterian Medical Services CurrentSince Nov 19, 2018 Accepting new patients
DLM Internal Medicine Inc Past Accepting new patients

Locations

184 Unser Blvd NE
Rio Rancho, NM 87124
Phone (505) 896-0928

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073089926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740018",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 UNSER BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244045",
            "telephone_number": "505-896-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Rio Bravo Blvd SW Ste 36",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871056060",
            "country_code": "US",
            "telephone_number": "505-777-3004",
            "fax_number": "505-808-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Montano Rd NW Ste A1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871075200",
            "country_code": "US",
            "telephone_number": "505-777-3003",
            "fax_number": "505-808-4976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Zuni Rd SE Ste 11",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082935",
            "country_code": "US",
            "telephone_number": "505-777-3002",
            "fax_number": "505-521-5189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4208 Central Ave SW Ste G",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871051695",
            "country_code": "US",
            "telephone_number": "505-777-3001",
            "fax_number": "505-808-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-09-11",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2018-0064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.