Individual provider Active NPI

Morganne Hamann, PA

  • Medical Physician Assistant
  • Colfax, WA
National Provider Identifier
1679308464
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1210 W Fairview St
Colfax, WA 99111-9552
Phone
(509) 397-4717
NPI assigned
Sep 3, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

1210 W Fairview St
Colfax, WA 99111-9552

Mailing address

1210 W Fairview St
Colfax, WA 99111-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241104003256 WA Practitioner - Physician Assistant 6507399151 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman Medical Group PS CurrentSince Sep 8, 2024 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jul 18, 2025 Accepting new patients
Public Hospital District No 3 of Whitman County CurrentSince Oct 25, 2024 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jul 18, 2025 Accepting new patients

Locations

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

1210 W Fairview St
Colfax, WA 99111
Phone (509) 397-4717

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1679308464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552",
            "telephone_number": "509-397-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "MORGANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.