Active NPI
Maureen Hanna, PNP-PC
- Pediatric Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1265101992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95018103
- Practice address
- 3450 3Rd St BLDG 2
San Francisco, CA 94124-1443 - Phone
- (415) 697-0500
- Fax
- (415) 697-0501
- NPI assigned
- Sep 7, 2021
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95018103 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 95018103 | CA | Primary |
Addresses
Primary practice location
3450 3Rd St BLDG 2
San Francisco, CA 94124-1443
Mailing address
229 7TH St
San Francisco, CA 94103-4003
Phone (415) 503-6000
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220412002071 | CA | Order and Referring Only - Nurse Practitioner | 4981090370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018103 | CA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- maureen.may.p1@direct.smhc.nextgenshare.com
- mmay581849@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1265101992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 7TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034003",
"telephone_number": "415-503-6000",
"fax_number": "415-503-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 3RD ST BLDG 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241443",
"telephone_number": "415-697-0500",
"fax_number": "415-697-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "PNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95018103",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95018103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.