NPIMap

Individual provider Active NPI

Hanna Gietzen, PA-C

  • Physician Assistant
  • Hillsboro, OR
National Provider Identifier
1083100432
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA195530 Issued in OR
Practice address
545 SE Oak St Ste F
Hillsboro, OR 97123-4147
Phone
(971) 228-8855
NPI assigned
Jul 9, 2018
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 PA195530 OR Primary

Addresses

Primary practice location

545 SE Oak St Ste F
Hillsboro, OR 97123-4147

Mailing address

545 SE Oak St Ste F
Hillsboro, OR 97123-4147
Phone (971) 228-8855

Other practice location 1

19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031
Phone (971) 230-4493

Other practice location 2

2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (503) 332-7745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200313000270 OR Practitioner - Physician Assistant 0244668820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Rheumatology Clinics LLCGroup PAC ID 2668804576, 4 clinicians

Practice addresses (Care Compare)

545 SE Oak St
Suite F
Hillsboro, OR 97123-4147
Phone (971) 228-8855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA195530ORMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hanna.gietzen.p1@direct.orc.nextgenshare.com

Organizations & group practices 1

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1083100432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST STE F",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234147",
            "telephone_number": "971-228-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SE OAK ST STE F",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234147",
            "telephone_number": "971-228-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19400 NW Evergreen Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247031",
            "country_code": "US",
            "telephone_number": "971-230-4493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2875 NE Stucki Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245806",
            "country_code": "US",
            "telephone_number": "503-332-7745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "HANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA195530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.