Individual provider Active NPI

Michael Joe Hanvey, PA-C

  • Physician Assistant
  • Scotland, SD
National Provider Identifier
1295836716
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0651 Issued in SD
Practice address
610 Billars St
Scotland, SD 57059-2026
Phone
(605) 583-2227
Fax
(605) 583-6125
NPI assigned
Sep 26, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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 0651 SD Primary

Addresses

Primary practice location

610 Billars St
Scotland, SD 57059-2026

Mailing address

610 Billars St
Scotland, SD 57059-2026
Phone (605) 583-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070808000146 SD Practitioner - Physician Assistant 1456442201 Reassigns benefits to 1 organization
I20240215002068 TX Practitioner - Physician Assistant 1456442201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Indian Health Service Health CenterGroup PAC ID 6305758483, 15 clinicians

Practice addresses (Care Compare)

111 Washington Ave NW
Wagner, SD 57380-4300
Phone (605) 384-4820

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1318NEMDPhysical Therapy Assistant
0651SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Landmann Jungman Memorial Hospital Corporation CurrentSince Jan 16, 2023 Accepting new patients

Locations

610 Billars St
Scotland, SD 57059
Phone (605) 583-2226

Interoperability endpoints

  • Direct secure messaging: michael.hanvey@avera.sdhealthlink.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1295836716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592026",
            "telephone_number": "605-583-2227",
            "fax_number": "605-583-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592026",
            "telephone_number": "605-583-2227",
            "fax_number": "605-583-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANVEY",
        "first_name": "MICHAEL",
        "middle_name": "JOE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotland, SD

Sources for this page

Verify at the official NPI Registry.