Active NPI
Hannah P Frazee, PA
- Physician Assistant
- Milwaukie, OR
National Provider Identifier
1376818856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA163028
- Practice address
- 14617 SE McLoughlin Blvd
Milwaukie, OR 97267-1416 - Phone
- (503) 962-1782
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA163028 | OR | Primary |
Addresses
Primary practice location
14617 SE McLoughlin Blvd
Milwaukie, OR 97267-1416
Mailing address
PO Box 3158
Attention Zoomcare
Portland, OR 97208-3158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500703586 | Medicaid | OR |
Other names 1
- Hannah M Powell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 NW 21St Ave
Portland, OR 97209-1174
Phone (240) 778-6164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA163028 | OR | MD | Physician Assistant |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1376818856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"address_2": "ATTENTION ZOOMCARE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14617 SE MCLOUGHLIN BLVD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972671416",
"telephone_number": "503-962-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZEE",
"first_name": "HANNAH",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA163028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500703586",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "POWELL",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.