NPIMap

Individual provider Active NPI

Rancie Wayne Hannah, MD

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1275530008
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36544 Issued in KY
Practice address
1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Phone
(606) 836-3196
Fax
(606) 836-2564
NPI assigned
Jul 7, 2005
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36544 KY Primary

Addresses

Primary practice location

1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087

Mailing address

1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Phone (606) 836-3196

Other identifiers 3

IdentifierTypeStateIssuer
2204836MedicaidOH
64044704MedicaidKY
000000199568OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001305 KY Practitioner - Family PracticePractitioner - General Practice 8921079021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Center, PLLCGroup PAC ID 1759352842, 6 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1180 Saint Christopher Dr
Ashland, KY 41101-7055
Phone 6068363196229

710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157

7700 Ohio River Rd
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Center, PLLC Family Medicine CurrentSince Jul 30, 2001 Accepting new patients

Locations

1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
Phone (606) 836-3196

Interoperability endpoints

  • Direct secure messaging: rhannah72380@direct.kdhealth.us

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.

Hospital & facility affiliations 7

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1275530008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 250",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-836-3196",
            "fax_number": "606-836-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "RANCIE",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204836",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64044704",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000199568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.