Alyce Hannan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020499 Issued in IL

Practice address

12 Hospital Dr
Metropolis, IL 62960-2461

Phone

(618) 524-2182

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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.

• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578

  IL

  Medicare reassignment Care Compare group NPD
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1356968275
  Care Compare group NPD
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1417303181
  Care Compare group NPD
• Massac Memorial Hospital

  • Ambulance
  • Metropolis, IL
  • NPI 1801941968
  Care Compare group NPD
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1740355809
  Care Compare group NPD (past)
• Massac Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Metropolis, IL
  • NPI 1831226901
  Care Compare group
• Southern Illinois Pain Management

  • Specialist
  • Marion, IL
  • NPI 1942227863
  NPD (past)

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

• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578

  Hospital

  Care Compare affiliation
• Residential Home Health of Southern Illinois, LLC

  • Home Health Agency
  • Marion, IL
  • NPI 1235556838
  Care Compare affiliation
• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massac Memorial Hospital 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of Southern Illinois, LLC Home health agency, Marion, IL, CCN 147112
• Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

Medicare fee-for-service enrollment

Enrolled in IL

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2020.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1073153235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602461",
            "telephone_number": "618-524-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602461",
            "telephone_number": "618-524-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "ALYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020499",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Richard Glass, D. C.
• Kirstan Goines, BA, MHP, OTS
• Rebekah Graham, FNP
• Ashley Hagerty, PA-C
• James Allen Haley, MS
• Jennea Harris
• Rebecca Hawes, MS
• Emily Ann Hawkins, MSN, APRN, FNP-C
• Alyssa Hebel
• Kyle Wayne Heine, DMD

• All providers in Metropolis, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.

Verify at the official NPI Registry.