Individual provider Active NPI

Jill A Hanna, MD

  • Family Medicine Physician
  • Quincy, CA
National Provider Identifier
1194832717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G60571 Issued in CA
Practice address
1065 Bucks Lake Road
Quincy, CA 95971
Phone
(530) 283-2121
Fax
(530) 283-7953
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G60571 CA Primary
Family Medicine Physician 207Q00000X 9314 NV

Addresses

Primary practice location

1065 Bucks Lake Road
Quincy, CA 95971

Mailing address

1065 Bucks Lake Road
Quincy, CA 95971
Phone (530) 283-2121

Other identifiers 1

IdentifierTypeStateIssuer
00G605710MedicaidCA

Other names 1

  • Jill A Marten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010819 CA Practitioner - Emergency Medicine 7113230723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
84.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G60571CAMDFamily Medicine Physician
9314NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas District Hospital CurrentSince Jun 1, 2015 Accepting new patients
Chavez Emergency Physicians Medical Group, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Plumas District Hospital CurrentSince Jun 1, 2015 Accepting new patients

Locations

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194832717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE ROAD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-2121",
            "fax_number": "530-283-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE ROAD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-2121",
            "fax_number": "530-283-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G60571",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G605710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MARTEN",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, CA

Sources for this page

Verify at the official NPI Registry.