Hannah L Burton
Individual provider Active NPI Physician Assistant · Neenah, WI
NPI 1558026419 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1558026419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5848 (WI)
- Practice address
- 333 N Green Bay Rd
Neenah, WI 54956-1954 - Phone
- (920) 725-2070
- Fax
- (920) 725-4549
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thedacare, Incorporated
Practice addresses (Care Compare)
1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2000
1405 S Mill St
New London, WI 54961-2155
Phone (920) 831-5050
2500 E Capital Dr
Appleton, WI 54911-8735
3 Neenah Ctr
Neenah, WI 54956-3070
333 N Green Bay Rd
Neenah, WI 54956-1954
Phone (920) 720-2300
4480 W Spencer St
Appleton, WI 54915
Phone (920) 738-4800
600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077
Hospital & facility affiliations
- Thedacare Regional Med Ctr - Neenah
- Thedacare Regional Medical Center - Appleton Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220831000426 | WI | Practitioner - Physician Assistant | 1052795622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
333 N Green Bay Rd
Neenah, WI 54956
Phone (920) 725-2070
200 Theda Clark Medical Plz
Ste 380
Neenah, WI 54956
Phone (920) 727-9650
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- hburton324754@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 5848 | WI | Yes |
Addresses
Primary practice location
333 N Green Bay Rd
Neenah, WI 54956-1954
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900
Other practice location 1
200 Theda Clark Medical Plz Ste 380
Neenah, WI 54956-2790
Phone (920) 727-9650
Other practice location 2
2500 E Capitol Dr
Appleton, WI 54911-8735
Phone (920) 731-5811
Other providers in Neenah, WI
- Danel Burchby
- Carrie J. Burger
- Jeffrey Scott Burkett
- Lindsey Burmeister
- James R Burns
- Larry K Burton Jr.
- Kristie Butler
- Paige N Butler
- Melissa A Butzen
- David Buzas
All providers in Neenah, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.