Individual provider Active NPI

Hannah Faith Weber, PA

  • Physician Assistant
  • Laramie, WY
National Provider Identifier
1275322000
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
204 McCollum St Ste 107
Laramie, WY 82070-5151
Phone
(970) 682-3377
Fax
(970) 682-3340
NPI assigned
May 6, 2025
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

204 McCollum St Ste 107
Laramie, WY 82070-5151

Mailing address

1104 Palmer Dr
Laramie, WY 82070-4680
Phone (970) 215-9048

Other practice location 1

3236 E Grand Ave Ste D
Laramie, WY 82070-5100
Phone (307) 760-8602

Other names 1

  • Hannah Faith Thollot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20260127000212 WY Practitioner - Physician Assistant 0648757245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivinson Memorial HospitalGroup PAC ID 8325304447, 61 clinicians

Practice addresses (Care Compare)

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-6319

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Grand Avenue Urgent Care, LLC CurrentSince Jul 22, 2025 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Grand Ave Family Medicine CurrentSince Jul 22, 2025 Accepting new patients

Locations

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

3236 E Grand Ave
Ste D
Laramie, WY 82070
Phone (307) 760-8602

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1275322000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 PALMER DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704680",
            "telephone_number": "970-215-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 107",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705151",
            "telephone_number": "970-682-3377",
            "fax_number": "970-682-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3236 E Grand Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820705100",
            "country_code": "US",
            "telephone_number": "307-760-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "HANNAH",
        "middle_name": "FAITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "THOLLOT",
            "middle_name": "FAITH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.