Individual provider Active NPI

Hannah Finnerty

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1730740507
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009510 Issued in MI
Practice address
2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378
Phone
(517) 333-4600
Fax
(517) 333-4996
NPI assigned
Jun 24, 2019
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009510 MI Primary
Family Medicine Physician 207Q00000X 5601009510 MI

Addresses

Primary practice location

2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378

Mailing address

2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378
Phone (517) 333-4600

Other identifiers 2

IdentifierTypeStateIssuer
5315211855OtherMICONTROLLED SUBSTANCE LICENSE
5601009510OtherMIPHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190716001021 MI Practitioner - Physician Assistant 5890020622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Family Practice PLCGroup PAC ID 1052360245, 5 clinicians

Practice addresses (Care Compare)

2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378
Phone (517) 333-4600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sams Physical Therapy PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hannah.finnerty.1@31629.direct.athenahealth.com
  • Direct secure messaging: hannahfinnerty@cfpmi.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1730740507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY STE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-333-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY STE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-333-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNERTY",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009510",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601009510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5315211855",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "5601009510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.