Jenna Hannan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004302 Issued in CO

Practice address

799 E Hampden Ave Ste 525
Englewood, CO 80113-2786

Phone

(303) 321-2644

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Denver Endocrinology, Diabetes and Thyroid Center, PC

  • Medical Specialty Clinic/Center
  • Englewood, CO
  • NPI 1336361096
  Medicare reassignment

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1215318803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 525",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132786",
            "telephone_number": "303-321-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 525",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132786",
            "telephone_number": "303-321-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 S Clarkson St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133916",
            "country_code": "US",
            "telephone_number": "303-788-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "JENNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1121628",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Cailly Haning, CNS
• Shian N Hanks, LAT, ATC
• Jean A Hanna, ED.D.
• Stephanie Hannah
• Stephanie Hannifan, RN
• Sarah Hansen, MSW
• Sydney A Hansen, MA, LPC, CAS
• Rebekah S Hansmeier, PHARM.D.
• Keith Dunsden Hanson, D.D.S.

• Physician Assistant in Englewood, CO
• Providers in Englewood, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.

Verify at the official NPI Registry.