Individual provider Active NPI

Natalie Marie Hammond, PA-C, MPAS

  • Medical Physician Assistant
  • Kailua Kona, HI
National Provider Identifier
1609314269
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
12321 Issued in MN
Practice address
73-5618 Maiau St Ste A204
Kailua Kona, HI 96740-2634
Phone
(952) 239-0770
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08653 TX
Medical Physician Assistant 363AM0700X 12321 MN Primary

Addresses

Primary practice location

73-5618 Maiau St Ste A204
Kailua Kona, HI 96740-2634

Mailing address

73-5618 Maiau St Ste A204
Kailua Kona, HI 96740-2634
Phone (952) 239-0770

Other practice location 1

560 S Maple St
Ste 400
Waconia, MN 55387-1733
Phone (952) 442-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA08653TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Scheel MD LLC Past Accepting new patients
Ronald L Moy MD Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1609314269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-5618 MAIAU ST STE A204",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402634",
            "telephone_number": "952-239-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73-5618 MAIAU ST STE A204",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402634",
            "telephone_number": "952-239-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 S Maple St",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Waconia",
            "state": "MN",
            "postal_code": "553871733",
            "country_code": "US",
            "telephone_number": "952-442-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08653",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "12321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.