Active NPI
Patrick John Hanna, M.D.
- Family Medicine Physician
- Montevideo, MN
National Provider Identifier
1467433201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43944
- Practice address
- 824 N 11TH St
Montevideo, MN 56265-1629 - Phone
- (320) 269-8877
- Fax
- (320) 269-8186
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21169 | NE | |
| Family Medicine Physician | 207Q00000X | 43944 | MN | Primary |
Addresses
Primary practice location
824 N 11TH St
Montevideo, MN 56265-1629
Mailing address
824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276903400 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phanna482465@direct.centracare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877
Hospital & facility affiliations
- CCM Health
- Centracare Hospice
- Chippewa County Hospital
- Johnson Memorial Hospital
- Centracare- Rice Memorial Hospital
- Luther Haven
- Chippewa County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 96.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43944 | MN | MD | Family Medicine Physician |
| 21169 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCM Health | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Southwest Ophthalmology Associates, P.a. | Past | Accepting new patients | |
| CCM Health | Past | Accepting new patients |
Locations
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
908 N 11th St
Montevideo, MN 56265
Phone (320) 269-6435
Interoperability endpoints
- phanna482465@direct.centracare.com
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Rural Health Clinic/Center
- Milan, MN
- NPI 1457132466
-
- Rural Health Clinic/Center
- Montevideo, MN
- NPI 1407636475
-
- Ophthalmology Physician
- Marshall, MN
- NPI 1306899323
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Willmar, MN
- NPI 1306359856
-
- General Acute Care Hospital
- Willmar, MN
- NPI 1407367030
-
- Home Health Agency
- Montevideo, MN
- NPI 1275751950
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Critical Access Hospital
- Dawson, MN
- NPI 1093745051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640304000000",
"number": "1467433201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 N 11TH ST",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "562651629",
"telephone_number": "320-269-8877",
"fax_number": "320-269-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N 11TH ST",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "562651629",
"telephone_number": "320-269-8877",
"fax_number": "320-269-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "PATRICK",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2021-12-24",
"certification_date": "2021-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "21169",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "43944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276903400",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "phanna482465@direct.centracare.com",
"affiliation": "N",
"address_1": "824 N 11th St",
"city": "Montevideo",
"state": "MN",
"country_code": "US",
"postal_code": "562651629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montevideo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; 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.