Active NPI
Paul A. Hanna, MD
- Cardiovascular Disease Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 201793
- Practice address
- 3901 Hoyt Ave
Everett, WA 98201-4918 - Phone
- (425) 339-5412
- NPI assigned
- Nov 2, 2006
- Last updated
- Dec 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 201793 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | MED-PHYS-LIC-165172 | MT | |
| Cardiovascular Disease Physician | 207RC0000X | A87690 | CA |
Addresses
Primary practice location
3901 Hoyt Ave
Everett, WA 98201-4918
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (206) 860-5414
Other practice location 1
1 Webster Ave
Poughkeepsie, NY 12601-1361
Phone (845) 483-5000
Other practice location 2
500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone (406) 329-5615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A876900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
401 2ND St
Snohomish, WA 98290-3008
Phone (360) 568-8600
500 W Broadway St
Suite 320
Missoula, MT 59802-4003
Phone (406) 329-5615
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87690 | CA | MD | Cardiovascular Disease Physician |
| MED-PHYS-LIC-165172 | MT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Mt | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yrmc Hospice | Current | Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Mt | Cardiovascular Disease | Current | Accepting new patients |
| Ahs Oklahoma Heart LLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| Yavapai Pathology Associates PLC | Current | Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Integris Cardiovascular Physicians LLC | Cardiovascular Disease | Past | Accepting new patients |
| Providence Health & Services Mt | Cardiovascular Disease | Past | Accepting new patients |
| The Heart GRP PL | Cardiovascular Disease | Past | Accepting new patients |
Locations (25 of 29)
1739 E Beverly Ave
Ste 127
Kingman, AZ 86409
1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
726 Gail Gardner Way
Ste A
Prescott, AZ 86305
Phone (928) 771-9985
3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000
1625 N Campbell Ave
Tucson, AZ 85719
1625 N Campbell Ave
Bldg 2
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
2800 E Ajo Way
Ste 277
Tucson, AZ 85713
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979
500 W Broadway St
Ste 320
Missoula, MT 59802
1265 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 579-2981
9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820
Dept 1218
Tulsa, OK 74182
1200 112th Ave NE
Ste C160
Bellevue, WA 98004
Phone (425) 453-1039
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
1145 Broadway
Seattle, WA 98122
1229 Madison St
Ste 1660
Seattle, WA 98104
Phone (206) 860-5582
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Organizations & group practices 23
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.
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Arlington, WA
- NPI 1366154304
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
-
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1154015592
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
Family Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barrett Hospital & HealthCare
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
-
dba Clark Fork Valley Hospital
- Critical Access Hospital
- Plains, MT
- NPI 1265547939
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
dba Prov St Joseph Med Ctr
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1598843682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014918",
"telephone_number": "425-339-5412"
}
],
"practiceLocations": [
{
"address_1": "1 Webster Ave",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126011361",
"country_code": "US",
"telephone_number": "845-483-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Broadway St Ste 320",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024003",
"country_code": "US",
"telephone_number": "406-329-5615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "PAUL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "201793",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MT",
"license": "MED-PHYS-LIC-165172",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A87690",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A876900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.