Individual provider Active NPI

Hannah Raynor, MD

  • Family Medicine Physician
  • Sandpoint, ID
National Provider Identifier
1629465695
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-13467 Issued in ID
Practice address
606 N 3Rd Ave Ste 101
Sandpoint, ID 83864-1594
Phone
(208) 263-1435
Fax
(208) 263-4580
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-13467 ID Primary

Addresses

Primary practice location

606 N 3Rd Ave Ste 101
Sandpoint, ID 83864-1594

Mailing address

606 N 3Rd Ave Ste 101
Sandpoint, ID 83864-1594
Phone (208) 263-1435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180917001132 ID Practitioner - Family Practice 2668768615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandpoint Family Health Center PLLCGroup PAC ID 3779598404, 9 clinicians

Practice addresses (Care Compare)

606 N 3Rd Ave
Suite 101
Sandpoint, ID 83864-1594
Phone (208) 263-1435

Hospital & facility affiliations

  • Eden Home Health Home health agency, Ponderay, ID, CCN 137122
  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal or shaving of skin growth15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sandpoint Family Health Center, PLLC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

606 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-1435

606 N Third Ave
Ste 101
Sandpoint, ID 83864
Phone (208) 263-1435

Interoperability endpoints

  • Direct secure messaging: hannah.raynormd.p56@direct.fhcsandpoint.nextgenshare.com

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 7

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1629465695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641594",
            "telephone_number": "208-263-1435",
            "fax_number": "208-263-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641594",
            "telephone_number": "208-263-1435",
            "fax_number": "208-263-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "HANNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-13467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.