NPIMap

Individual provider Active NPI

Hannah Haack, MD

  • Family Medicine Physician
  • Smith Center, KS
National Provider Identifier
1649567397
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-36014 Issued in KS
Practice address
921 E Highway 36
Smith Center, KS 66967-9582
Phone
(785) 282-6834
Fax
(785) 282-3793
NPI assigned
Jul 1, 2011
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7760 KS
Family Medicine Physician 207Q00000X 04-36014 KS Primary

Addresses

Primary practice location

921 E Highway 36
Smith Center, KS 66967-9582

Mailing address

1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030

Other practice location 1

1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030

Other practice location 2

119 E Parliament St
Smith Center, KS 66967-3015
Phone (785) 282-6834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140521000630 KS Practitioner - Family Practice 5496904484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains of Smith Co IncGroup PAC ID 2860300530, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

921 E Hwy 36
Smith Center, KS 66967-9582
Phone (785) 282-6834

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36014KSMDFamily Medicine Physician
7760KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains of Smith Co., Inc. CurrentSince Jan 1, 2025 Accepting new patients
Great Plains of Smith Co., Inc. Family Medicine CurrentSince Sep 2, 2014 Accepting new patients
Great Plains of Smith Co Inc Past Accepting new patients
Sunporch of Smith Center Inc PastSince Oct 1, 2017 Accepting new patients
Great Plains of Smith Co., Inc Past Accepting new patients

Locations

119 E Parliament St
Smith Center, KS 66967
Phone (785) 282-6834

921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunporch of Smith CountySmith Center, KS, CCN 175565 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2017
Oct 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1649567397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N. KANSAS",
            "address_2": "WCGME",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-962-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E HIGHWAY 36",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669679582",
            "telephone_number": "785-282-6834",
            "fax_number": "785-282-3793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N. Kansas",
            "address_2": "WCGME",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67214",
            "country_code": "US",
            "telephone_number": "316-962-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 E Parliament St",
            "address_purpose": "LOCATION",
            "city": "Smith Center",
            "state": "KS",
            "postal_code": "669673015",
            "country_code": "US",
            "telephone_number": "785-282-6834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAACK",
        "first_name": "HANNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7760",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-36014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smith Center, KS

Sources for this page

Verify at the official NPI Registry.