Nickolas F Hanna, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50803-20 Issued in WI

Practice address

3207 Laura LN Ste 105
Middleton, WI 53562-1428

Phone

(608) 203-8022

Fax

(608) 203-8041

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Family PracticeAlso: Addiction Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanna Medical Clinic SCGroup PAC ID 6901182955, 3 clinicians

Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, 166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grant Regional Health Center Hospital, Lancaster, WI, CCN 521322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nickolas.hanna.1@28770.direct.athenahealth.com
• Direct secure messaging: nhanna847534@direct.unitypoint.org

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.

• Hanna Medical Clinic SC

  • Family Medicine Physician
  • Middleton, WI
  • NPI 1902342868
  Medicare reassignment Care Compare group NPD Authorized official
• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Outpatient Therapies - Wisconsin Rapids

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment Care Compare group
• Grant Regional Health Center, Inc.

  • Critical Access Hospital
  • Lancaster, WI
  • NPI 1255339867
  Medicare reassignment NPD
• Grant Regional Health Center, Inc

  dba Grant Regional Community Clinic- Fennimore

  • Family Medicine Physician
  • Fennimore, WI
  • NPI 1659060077
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Grant Regional Health Center, Inc.

  • Critical Access Hospital
  • Lancaster, WI
  • NPI 1255339867
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1487732855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 LAURA LN STE 105",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621428",
            "telephone_number": "608-203-8022",
            "fax_number": "608-203-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 LAURA LN STE 105",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621428",
            "telephone_number": "608-203-8022",
            "fax_number": "608-203-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "NICKOLAS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "50803-20",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "WI",
            "license": "50803-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "50803-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35208300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyse Stevens Hamilton, MA, LPC
• Heather Hammil, PT, DPT
• Hands That Restore LLC
• John Edward Hanlon Jr., DMD
• Hanna Medical Clinic SC
• Amanda Hansen
• Jessica Ashley Hanson, LCSW
• Kristyn J Hare, PA-C
• Karissa A Harenda, APSW
• Julia C Harkins Arcand, LCSW

• Family Medicine Physician in Middleton, WI
• Providers in Middleton, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.

Verify at the official NPI Registry.