Hannah Joann Sanders, M.D.
Individual provider Active NPI Family Medicine Physician · Cordova, AK
NPI 1093036071 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1093036071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60820844 (WA)
- Practice address
- 602 Chase
PO Box 160
Cordova, AK 99574-0160 - Phone
- (907) 424-8200
- NPI assigned
- Jun 14, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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
- South Sound Inpatient Physicians PLLC
Cordova Community Medical Center
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
- Skagit Valley Hospital
- Cordova Community Medical Center
- Cordova Community Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Cordova Community Hospital |
Hospital | Corporate Officer (100%) W-2 Managing Employee |
May 15, 2020 May 15, 2020 |
| Cordova Community Hospital |
Hospital | Corporate Officer (100%) W-2 Managing Employee |
May 15, 2020 May 15, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160629002211 | AK | Practitioner - Family Practice | 4284877424 | Reassigns benefits to 2 organizations |
| I20180315001210 | WA | Practitioner - Family Practice | 4284877424 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS00218341 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Family Medicine | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of California - San Leandro, PC | Current |
Accepting new patients | |
| Cordova Community Medical Center | Current |
Accepting new patients | |
| Cogent Healthcare of Washington, PC | Family Medicine | Current |
Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current |
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
- https://fhir-usa.unify.chbase.com/org/cordova-527880fe
- hsanders24857@skagit.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD2012-0722 | NM | |
| Family Medicine Physician | 207Q00000X | MD60820844 | WA | Yes |
| 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
- Hannah Fellers Benelli
NPI Registry JSON
{
"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
- Pacific Northwest Radiology LLC
- Laurie A Phillips
- Susan E.C. Powell
- Delia M. Reyes
- Matthew Rush
- Stephenie James Saunders
- Barbara Solomon
- Stephen Mark Sundby
- Kanisha Lanae Tiedeman
- Gilbert Lyle Urata
All providers in Cordova, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.