Individual provider Active NPI

Elena M. Hannon, M.D.

  • Obstetrics & Gynecology Physician
  • Seattle, WA
National Provider Identifier
1437126067
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C192825 Issued in CA
Practice address
1101 Madison St Ste 1150
Seattle, WA 98104
Phone
(206) 386-3400
Fax
(206) 386-3411
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00037276 WA
Obstetrics & Gynecology Physician 207V00000X 14215 SD
Obstetrics & Gynecology Physician 207V00000X C192825 CA Primary

Addresses

Primary practice location

1101 Madison St Ste 1150
Seattle, WA 98104

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (864) 908-3530

Other practice location 2

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 867-7830

Other practice location 3

1229 Madison St
Suite 1600
Seattle, WA 98104-3586
Phone (206) 860-4541

Other practice location 4

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (864) 908-3530

Other identifiers 3

IdentifierTypeStateIssuer
1437126067MedicaidSD
100509006MedicaidCA
1010288MedicaidWA

Other names 1

  • Elena Maria Hannon-Bert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, SD, CA, OR5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050208000069 WA Practitioner - Obstetrics/Gynecology 4082665062 Reassigns benefits to 5 organizations
I20230124002782 AZ Practitioner - Obstetrics/Gynecology 4082665062 Reassigns benefits to 1 organization
I20231106003490 SD Practitioner - Obstetrics/Gynecology 4082665062 Reassigns benefits to 2 organizations
I20250109002007 CA Practitioner - Obstetrics/Gynecology 4082665062 Reassigns benefits to 1 organization
I20250116001888 OR Practitioner - Obstetrics/Gynecology 4082665062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C192825CAMDObstetrics & Gynecology Physician
14215SDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Obhg Oregon PC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Dec 7, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 25, 2012 Accepting new patients
Franciscan Medical Group CurrentSince Dec 7, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 25, 2012 Accepting new patients
King County Public Hospital District No 2 CurrentSince Dec 1, 2022 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Dec 1, 2018 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Dec 1, 2018 Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince May 20, 2022 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Obhg South Dakota PC Obstetrics & Gynecology CurrentSince Oct 6, 2023 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Dec 1, 2022 Accepting new patients
Rushmore OB-GYN PC Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Oct 17, 2022 Accepting new patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology PastSince Dec 1, 2016 Accepting new patients
Samir E. Hage, D.O., Inc. Obstetrics & Gynecology Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations (25 of 32)

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

3006 Tower Rd
Rapid City, SD 57701
Phone (605) 343-7295

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

12303 NE 130th Ln
Ste 450
Kirkland, WA 98034
Phone (425) 899-5000

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060

1229 Madison St
Ste 1600
Seattle, WA 98104
Phone (206) 860-4541

1101 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-3400

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: ehannon607303@direct.peacehealth.org

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1437126067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 1150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-386-3400",
            "fax_number": "206-386-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958166039",
            "country_code": "US",
            "telephone_number": "916-867-7830",
            "fax_number": "916-262-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1229 Madison St",
            "address_2": "Suite 1600",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043586",
            "country_code": "US",
            "telephone_number": "206-860-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2755 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116800",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNON",
        "first_name": "ELENA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00037276",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "14215",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C192825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437126067",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509006",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "HANNON-BERT",
            "middle_name": "MARIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.