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Individual provider Active NPI

Hannah Scoville, DO

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1457919680
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-46814 Issued in KS
Practice address
9211 E 21St St N
Wichita, KS 67206-2900
Phone
(316) 274-4501
Fax
(316) 274-4473
NPI assigned
Jun 3, 2019
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-46814 KS Primary

Addresses

Primary practice location

9211 E 21St St N
Wichita, KS 67206-2900

Mailing address

9211 E 21St St N
Wichita, KS 67206-2900
Phone (316) 274-4501

Other names 1

  • Ms. Hannah Smouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929001619 KS Practitioner - Family Practice 1759617483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 N Amidon Ave
100 Via Christi Clinic PA
Wichita, KS 67203-2125
Phone (316) 832-9024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-46814KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 30, 2022 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 30, 2022 Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Locations

1900 N Amidon Ave
Ste 100
Wichita, KS 67203
Phone (316) 687-1555

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

9211 E 21st St N
Wichita, KS 67206
Phone (316) 609-4501

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1457919680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062900",
            "telephone_number": "316-274-4501",
            "fax_number": "316-274-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062900",
            "telephone_number": "316-274-4501",
            "fax_number": "316-274-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-46814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "SMOUSE",
            "prefix": "MS.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.