NPIMap

Individual provider Active NPI

Hannah Mary McMahon Kadooka, PA-C

  • Physician Assistant
  • Lebanon, OR
National Provider Identifier
1689026759
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA184144 Issued in OR
Practice address
675 N 5TH St
Lebanon, OR 97355-2875
Phone
(541) 451-6282
Fax
(541) 812-2040
NPI assigned
Jul 12, 2016
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 PA184144 OR Primary

Addresses

Primary practice location

675 N 5TH St
Lebanon, OR 97355-2875

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other names 1

  • Hannah Mary McMahon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkadooka136649@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170803002110 OR Practitioner - Physician Assistant 0840561270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

675 N 5TH St
Suite 200
Lebanon, OR 97355-2875
Phone (541) 451-6282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Jul 17, 2017 Accepting new patients
Albany General Hospital CurrentSince Aug 22, 2018 Accepting new patients
Albany General Hospital CurrentSince Aug 22, 2018 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jul 17, 2017 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1689026759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N 5TH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552875",
            "telephone_number": "541-451-6282",
            "fax_number": "541-812-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOOKA",
        "first_name": "HANNAH",
        "middle_name": "MARY MCMAHON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA184144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkadooka136649@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "675 N 5th St",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973552875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MCMAHON",
            "middle_name": "MARY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.