Active NPI
Hanna Cox
- Physician Assistant
- Fayetteville, AR
National Provider Identifier
1639724834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2021009904
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021009904 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dermatology & Skin Renewal Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinical & Laboratory Dermatological Immunology Physician
- Bentonville, AR
- NPI 1912912361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.