Active NPI
Molly Lauren Hannasch, P.A.- C
- Medical Physician Assistant
- Lincoln, NE
National Provider Identifier
1164653002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1457
- Practice address
- 1550 S 70TH St
Suite 202
Lincoln, NE 68506-1576 - Phone
- (402) 328-8833
- Fax
- (402) 328-2921
- NPI assigned
- Jul 27, 2009
- Last updated
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1457 | NE | Primary |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
1550 S 70TH St
Suite 202
Lincoln, NE 68506-1576
Mailing address
PO Box 6971
Lincoln, NE 68506-0971
Phone (402) 486-7083
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | NE | MIDLANDS CHOICE |
| N/A | Other | NE | HUMANA |
| 24384 | Other | NE | BCBS |
| N/A | Other | NE | COVENTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1457 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care B PC | Past | Accepting new patients | |
| Paul L Hayes MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1164653002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6971",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685060971",
"telephone_number": "402-486-7083",
"fax_number": "402-434-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S 70TH ST",
"address_2": "SUITE 202",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061576",
"telephone_number": "402-328-8833",
"fax_number": "402-328-2921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNASCH",
"first_name": "MOLLY",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "P.A.- C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1457",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "N/A",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "N/A",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "24384",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "N/A",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.