Individual provider Active NPI

Hannah Weaver, PA

  • Physician Assistant
  • St George, UT
National Provider Identifier
1376126995
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1068 E Riverside Dr
St George, UT 84790-4477
Phone
(435) 628-4466
Fax
(435) 628-3845
NPI assigned
May 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD-1509 HI
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1068 E Riverside Dr
St George, UT 84790-4477

Mailing address

1068 E Riverside Dr
St George, UT 84790-4477
Phone (435) 628-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 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
I20221116002943 UT Practitioner - Physician Assistant 7719355189 Reassigns benefits to 1 organization
I20260102000745 HI Practitioner - Physician Assistant 7719355189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Utah Surgical and Laser Aesthetics LLCGroup PAC ID 3779638697, 3 clinicians
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

1068 E Riverside Dr
St George, UT 84790-4477
Phone (435) 628-6466

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

1285 Waianuenue Ave
Hilo, HI 96720-1209
Phone (808) 432-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AMD-1509HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Dec 18, 2025 Accepting new patients
Kau Hospital CurrentSince Dec 18, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince Dec 18, 2025 Accepting new patients
Kau Hospital CurrentSince Dec 18, 2025 Accepting new patients
Balanced Health and Hormones LLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1068 E Riverside Dr
St George, UT 84790
Phone (435) 628-6466

Organizations & group practices 7

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1376126995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-628-6466",
            "fax_number": "435-628-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-628-4466",
            "fax_number": "435-628-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "HANNAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1509",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.