Individual provider Active NPI

Hanna Marie Massee, PA-C

  • Physician Assistant
  • Fairfield, CA
National Provider Identifier
1487298667
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA57390 Issued in CA
Practice address
480 Chadbourne Rd Ste 201
Fairfield, CA 94534-9641
Phone
(707) 399-4500
Fax
(707) 399-9410
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA57390 CA Primary

Addresses

Primary practice location

480 Chadbourne Rd Ste 201
Fairfield, CA 94534-9641

Mailing address

2290 Sacramento St
Vallejo, CA 94590-2929
Phone (707) 643-5785

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.solanodermatology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200312001759 CA Practitioner - Physician Assistant 4183052749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.3 of 100Reported as group
Quality
46
Improvement activities
40
Cost
76.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA57390CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Dermatology Associates Inc CurrentSince Feb 1, 2020 Accepting new patients

Locations

480 Chadbourne Rd
Ste 201
Fairfield, CA 94534
Phone (707) 399-4500

1700 2nd St
Ste 220
Napa, CA 94559
Phone (707) 252-2931

600 Nut Tree Rd
Ste 260
Vacaville, CA 95687
Phone (707) 259-1800

2290 Sacramento St
Vallejo, CA 94590
Phone (707) 643-5785

Interoperability endpoints

  • Direct secure messaging: hanna.massee.p1@direct.solderm.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1487298667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 SACRAMENTO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902929",
            "telephone_number": "707-643-5785",
            "fax_number": "707-643-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CHADBOURNE RD STE 201",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349641",
            "telephone_number": "707-399-4500",
            "fax_number": "707-399-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEE",
        "first_name": "HANNA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.solanodermatology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "1700 2nd St Ste 220",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945592455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.