Individual provider Active NPI

Hannah L Dyson, PA-C

  • Surgical Physician Assistant
  • Colonial Heights, VA
National Provider Identifier
1548707367
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110005709 Issued in VA
Practice address
131 Jennick Dr
Colonial Heights, VA 23834
Phone
(804) 526-5888
Fax
(804) 526-5401
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110005709 VA Primary

Addresses

Primary practice location

131 Jennick Dr
Colonial Heights, VA 23834

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

1300 W Broad St Ste 113
Richmond, VA 23284-9089
Phone (804) 828-7069

Other practice location 2

417 N 11th St
Richmond, VA 23298-5002
Phone (804) 828-7069

Other practice location 3

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8945

Other practice location 4

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669

Other practice location 5

325 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2986
Phone (804) 526-5888

Other practice location 6

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-7069

Other practice location 7

10528 Spotsylvania Ave
Fredericksburg, VA 22408-2710
Phone (804) 828-2467

Other practice location 8

13048 Rivers Bend Rd
Chester, VA 23836-2564
Phone (804) 526-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170424000728 VA Practitioner - Physician Assistant 1557647765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

325 Charles H Dimmock Pkwy
Suite 100
Colonial Heights, VA 23834-2986
Phone (804) 526-5888

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110005709VAMDSurgical Physician Assistant

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1548707367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JENNICK DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Broad St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232849089",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-0354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985002",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-560-8945",
            "fax_number": "804-560-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-360-4669",
            "fax_number": "804-364-6557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Charles H Dimmock Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342986",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-628-5855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10528 Spotsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082710",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "540-891-3175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13048 Rivers Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238362564",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYSON",
        "first_name": "HANNAH",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2023-05-24",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110005709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.