NPIMap

Individual provider Active NPI

Hannah Joann Sanders, M.D.

  • Family Medicine Physician
  • Cordova, AK
National Provider Identifier
1093036071
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60820844 Issued in WA
Practice address
602 Chase
PO Box 160
Cordova, AK 99574-0160
Phone
(907) 424-8200
NPI assigned
Jun 14, 2010
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD2012-0722 NM
Family Medicine Physician 207Q00000X MD60820844 WA Primary
Family Medicine Physician 207Q00000X CS00218341 NM

Addresses

Primary practice location

602 Chase
PO Box 160
Cordova, AK 99574-0160

Mailing address

PO Box 160
Cordova, AK 99574-0160
Phone (907) 424-8200

Other practice location 1

3917 West Rd
Los Alamos, NM 87544-2275
Phone (505) 982-4425

Other names 1

  • Hannah Fellers Benelli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160629002211 AK Practitioner - Family Practice 4284877424 Reassigns benefits to 2 organizations
I20180315001210 WA Practitioner - Family Practice 4284877424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordova Community Medical CenterGroup PAC ID 1759275902, 17 clinicians

Practice addresses (Care Compare)

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111

602 Chase Ave
Cordova, AK 99574-0559
Phone (907) 424-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CS00218341NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Cordova Community Medical Center CurrentSince Feb 1, 2016 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Hospitalist Medicine Physicians of California - San Leandro, PC CurrentSince Jan 13, 2020 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: hsanders24857@skagit.direct-ci.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cordova Community HospitalCordova, AK, CCN 021307 Hospital Corporate Officer (100%)
W-2 Managing Employee		 May 15, 2020
May 15, 2020
Cordova Community HospitalCordova, AK, CCN 02Z307 Hospital Corporate Officer (100%)
W-2 Managing Employee		 May 15, 2020
May 15, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 2

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1093036071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995740160",
            "telephone_number": "907-424-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHASE",
            "address_2": "PO BOX 160",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995740160",
            "telephone_number": "907-424-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 West Rd",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875442275",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "HANNAH",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "MD2012-0722",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60820844",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CS00218341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "BENELLI",
            "middle_name": "FELLERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cordova, AK

Sources for this page

Verify at the official NPI Registry.