Individual provider Active NPI

Hannah Fourman, PA-C

  • Physician Assistant
  • Laramie, WY
National Provider Identifier
1477167708
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA897 Issued in WY
Practice address
1277 N 15TH St
Laramie, WY 82072-2343
Phone
(307) 745-8991
Fax
(307) 745-8167
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT897 WY
Physician Assistant 363A00000X PA897 WY Primary

Addresses

Primary practice location

1277 N 15TH St
Laramie, WY 82072-2343

Mailing address

1277 N 15TH St
Laramie, WY 82072-2343
Phone (303) 908-5995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020002309 WY Practitioner - Physician Assistant 8022438688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laramie Physicians for Women P.C.Group PAC ID 5597747196, 3 clinicians

Practice addresses (Care Compare)

1016 W Spruce St
Unit a
Rawlins, WY 82301-5371
Phone (307) 745-8991

1277 N 15TH St
Laramie, WY 82072-2343
Phone (307) 745-8991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Laramie Physicians for Women PC CurrentSince Oct 1, 2020 Accepting new patients

Locations

2710 Harney St
Ste 100
Laramie, WY 82072
Phone (307) 742-3242

1277 N 15th St
Laramie, WY 82072
Phone (307) 742-6222

1016 W Spruce St
Unit A
Rawlins, WY 82301
Phone (307) 324-8494

Interoperability endpoints

  • Direct secure messaging: hannah.deardorff.1@29361.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1477167708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 N 15TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722343",
            "telephone_number": "303-908-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N 15TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722343",
            "telephone_number": "307-745-8991",
            "fax_number": "307-745-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURMAN",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT897",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.