Individual provider Active NPI

Hannah M Knio, PA-C

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1306453774
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010214 Issued in MI
Practice address
2100 Monroe St
Dearborn, MI 48124-2923
Phone
(313) 278-3900
Fax
(734) 362-5155
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 5601010214 MI Primary

Addresses

Primary practice location

2100 Monroe St
Dearborn, MI 48124-2923

Mailing address

2100 Monroe St
Dearborn, MI 48124-2923
Phone (313) 278-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201021001872 MI Practitioner - Physician Assistant 2264852797 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter L. Stevenson, MD, PC CurrentSince Dec 17, 2023 Accepting new patients

Locations

2100 Monroe St
Dearborn, MI 48124
Phone (313) 278-3900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1306453774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242923",
            "telephone_number": "313-278-3900",
            "fax_number": "734-362-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242923",
            "telephone_number": "313-278-3900",
            "fax_number": "734-362-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIO",
        "first_name": "HANNAH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.