Jodi Lynn Hannan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35080331 Issued in OH

Practice address

1900 Akron Rd
Wooster, OH 44691-2518

Phone

(330) 264-4899

Fax

(330) 264-4874

NPI assigned

May 10, 2006

Last updated

Sep 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

62.04 of 100Reported as group

Quality

29.8

Improvement activities

40

Cost

76.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lifecare Hospice

  • Community Based Hospice Care Agency
  • Wooster, OH
  • NPI 1477540284

  Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Lifecare Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wooster, OH
  • NPI 1922034701
  Medicare reassignment NPD
• Pure Healthcare LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dayton, OH
  • NPI 1619115045
  Medicare reassignment NPD
• Lifecare Hospice

  • Community Based Hospice Care Agency
  • Wooster, OH
  • NPI 1477540284

  Family Medicine

  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1396795670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912518",
            "telephone_number": "330-264-4899",
            "fax_number": "330-264-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912518",
            "telephone_number": "330-264-4899",
            "fax_number": "330-264-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35080331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Hammond, LSW
• Stacy Jean Hancock
• Traci Hanger-Hoffman
• Vincent M Hanke
• Matthew Travis Hankins, QMHS
• Scott Andrew Hannan, MD
• Laura Hansen
• Julia Ann Marie Hanshaw, APRN-CNP, AGACNP-BC
• Tonia Hanshaw
• Happy Sunflower Acupuncture LLC

• Family Medicine Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.