Individual provider Active NPI

Paul A. Hanna, MD

  • Cardiovascular Disease Physician
  • Everett, WA
National Provider Identifier
1598843682
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
201793 Issued in NY
Practice address
3901 Hoyt Ave
Everett, WA 98201-4918
Phone
(425) 339-5412
NPI assigned
Nov 2, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A876900MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, WA, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230719003948 OK Practitioner - Cardiovascular Disease (Cardiology) 4880656149 Reassigns benefits to 1 organization
I20240501003546 WA Practitioner - Cardiovascular Disease (Cardiology) 4880656149 Reassigns benefits to 3 organizations
I20251128000784 MT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880656149 Reassigns benefits to 1 organization

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
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

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

LicenseStateTypeSpecialty
A87690CAMDCardiovascular Disease Physician
MED-PHYS-LIC-165172MTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Apr 23, 2024 Accepting new patients
The Polyclinic PLLC Family Medicine Current Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services Mt Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 1, 2025 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Apr 23, 2024 Accepting new patients
Yrmc Hospice CurrentSince Aug 2, 2021 Accepting new patients
Banner-University Medical Group Family Medicine Current Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Providence Health & Services Mt Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Ahs Oklahoma Heart LLC CurrentSince May 2, 2023 Accepting new patients
Optum Care Washington PLLC Family Medicine Current Accepting new patients
The Polyclinic PLLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Aug 2, 2021 Accepting new patients
Yavapai Community Hospital Association Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2019 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.

View all 23

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.