Active NPI
Hannah Banfield, PA-C
- Physician Assistant
- Waukesha, WI
National Provider Identifier
1184276305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 477623
- Practice address
- 721 American Ave
Waukesha, WI 53188-5071 - Phone
- (262) 549-2229
- NPI assigned
- Jul 9, 2019
- Last updated
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4776-23 | WI | |
| Physician Assistant | 363A00000X | 477623 | WI | Primary |
Addresses
Primary practice location
721 American Ave
Waukesha, WI 53188-5071
Mailing address
3417 Maple Dr
Hubertus, WI 53033-9635
Other practice location 1
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (262) 353-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4776-23 | WI | MD | Physician Assistant |
| 477623 | WI | MD | Physician 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Waukesha, WI
- NPI 1871533729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1184276305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 MAPLE DR",
"city": "HUBERTUS",
"state": "WI",
"postal_code": "530339635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 AMERICAN AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-549-2229"
}
],
"practiceLocations": [
{
"address_1": "2900 W Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532154330",
"country_code": "US",
"telephone_number": "262-353-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANFIELD",
"first_name": "HANNAH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4776-23",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "477623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.