Individual provider Active NPI

Hanna Cox

  • Physician Assistant
  • Fayetteville, AR
National Provider Identifier
1639724834
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2021009904 Issued in MO
Practice address
1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196
Phone
(479) 876-8550
Fax
(479) 208-4266
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2021009904 MO Primary

Addresses

Primary practice location

1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196

Mailing address

1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196
Phone (479) 876-8550

Other practice location 1

1110 SE 30th St
Bentonville, AR 72712-4290
Phone (479) 876-8550

Other practice location 2

14 Riordan Rd
Bella Vista, AR 72714-3516
Phone (479) 876-8550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hcox@truedermatology.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000270 AR Practitioner - Physician Assistant 5890103469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Dermatology PLLCGroup PAC ID 4082926803, 15 clinicians

Practice addresses (Care Compare)

901 SE Plaza Ave
Suite 5
Bentonville, AR 72712-5473
Phone (479) 876-8550

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as group
Quality
95
Promoting interoperability
96
Improvement activities
40
Cost
92.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2021009904MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology & Skin Renewal Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hcox@truedermatology.emadirect.md

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1639724834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE 30th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124290",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Riordan Rd",
            "address_purpose": "LOCATION",
            "city": "Bella Vista",
            "state": "AR",
            "postal_code": "727143516",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "HANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcox@truedermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1651 E Stearns St Ste 110",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727036196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.