Individual provider Active NPI

Hannah Stanifer, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1093340531
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09728 Issued in NC
Practice address
3434 Edwards Mill Rd Ste 112-398
Raleigh, NC 27612-4275
Phone
(919) 878-1819
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 0010-09728 NC Primary

Addresses

Primary practice location

3434 Edwards Mill Rd Ste 112-398
Raleigh, NC 27612-4275

Mailing address

510 N Wilmington St Apt 227
Raleigh, NC 27604-8021
Phone (225) 810-9289

Other practice location 1

510 N Wilmington St Apt 227
Raleigh, NC 27604-8021
Phone (225) 810-9289

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hstanifer686422@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331000769 NC Practitioner - Physician Assistant 3375972110 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
Capital Endocrine Consultants, PAGroup PAC ID 4082706932, 14 clinicians

Practice addresses (Care Compare)

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-2300

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 954-3100

4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 784-3100

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-09728NCMDPhysician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1093340531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N WILMINGTON ST APT 227",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276048021",
            "telephone_number": "225-810-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 EDWARDS MILL RD STE 112-398",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124275",
            "telephone_number": "919-878-1819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 N Wilmington St Apt 227",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276048021",
            "country_code": "US",
            "telephone_number": "225-810-9289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANIFER",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2021-04-06",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hstanifer686422@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3434 Edwards Mill Rd Ste 112-398",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276124275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.