Individual provider Active NPI

Hannah Krimins Mertens, PA-C

  • Physician Assistant
  • Vacaville, CA
National Provider Identifier
1386825917
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-003111 Issued in IL
Practice address
1010 Nut Tree Rd
Suite 200
Vacaville, CA 95687-4172
Phone
(707) 624-7900
NPI assigned
Nov 26, 2007
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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 085-003111 IL Primary

Addresses

Primary practice location

1010 Nut Tree Rd
Suite 200
Vacaville, CA 95687-4172

Mailing address

1010 Nut Tree Rd
Suite 200
Vacaville, CA 95687-4172
Phone (707) 624-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085-003111ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Physicians Surgery Center LLC Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

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, 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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1386825917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NUT TREE RD",
            "address_2": "SUITE 200",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874172",
            "telephone_number": "707-624-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NUT TREE RD",
            "address_2": "SUITE 200",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874172",
            "telephone_number": "707-624-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTENS",
        "first_name": "HANNAH",
        "middle_name": "KRIMINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.