Hannah Komedja, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP026464 Issued in PA

Practice address

1034 Grove St Ste G1
Meadville, PA 16335-2945

Phone

(814) 807-1202

Fax

(814) 807-1210

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elie-Hannah Weick-Dido Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians

Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meadville Medical Center Hospital, Meadville, PA, CCN 390113

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CH Specialty Services PA PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1295438547
  Medicare reassignment Care Compare group NPD
• Curana Health of Pennsylvania PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1679205876
  Medicare reassignment Care Compare group NPD
• Meadville Medical Center

  • Gastroenterology Physician
  • Meadville, PA
  • NPI 1396480372
  Medicare reassignment Care Compare group NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Titusville, PA
  • NPI 1316471212
  Medicare reassignment NPD
• Meadville Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Meadville, PA
  • NPI 1639067804
  NPD
• Titusville Area Hospital

  • Audiologist
  • Titusville, PA
  • NPI 1306712104
  NPD
• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  NPD (past)

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

• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  Care Compare affiliation

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1295154441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 PINE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352975",
            "telephone_number": "614-670-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST STE G1",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-807-1202",
            "fax_number": "814-807-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541499",
            "country_code": "US",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMEDJA",
        "first_name": "HANNAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026464",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN756952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIE-HANNAH",
            "last_name": "WEICK-DIDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Klingensmith
• Anna Marie Klink, CRNP
• Julie S. Knapka, CRNP
• Christopher G Knapp, DC
• Pavithra Samanmalee Kodagoda, MBBS
• Jaquelyn S Kondrot, LPC
• Chandrasekhar Kota, M.D.
• Kelli J. Kraeling, CRNP-C
• Kevin R Kraeling, D.O.
• Cassandra May Kreider, CRNP

• Nurse Practitioner in Meadville, PA
• Providers in Meadville, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.