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

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 2

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

Owned or controlled facilities with NPI records 1

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

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 (424 clinicians)
Cordova Community Medical Center (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

  • Skagit Valley Hospital Hospital · Mount Vernon, WA · CCN 500003
  • Cordova Community Medical Center Hospital · Cordova, AK · CCN 021307
  • Cordova Community Medical Center Nursing home · CCN 02Z307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

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

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

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

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CS00218341NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine Current
since Feb 3, 2018
Accepting new patients
Hospitalist Medicine Physicians of California - San Leandro, PC Current
since Jan 13, 2020
Accepting new patients
Cordova Community Medical Center Current
since Feb 1, 2016
Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine Current
since Oct 15, 2022
Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current
since Feb 3, 2018
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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2022.

{
    "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

All providers in Cordova, AK · Family Medicine Physician in Alaska

Sources for this page

Verify at the official NPI Registry.