Individual provider Active NPI

Hannah Logie Somensatto, ARNP

  • Family Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1750514055
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9244082 Issued in FL
Practice address
103B Solana Rd
Ponte Vedra Beach, FL 32082-2231
Phone
(904) 273-2717
Fax
(904) 273-0410
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9244082 FL Primary

Addresses

Primary practice location

103B Solana Rd
Ponte Vedra Beach, FL 32082-2231

Mailing address

157 Crossroad Lakes Dr
Ponte Vedra Beach, FL 32082-4034
Phone (904) 254-6589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100304000307 FL Practitioner - Nurse Practitioner 9234274010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaches Dermatology, P.a.Group PAC ID 9133190549, 15 clinicians

Practice addresses (Care Compare)

103 -B Solana Rd
Ponte Vedra Beach, FL 32082-2231

103 Solana Rd
Ponte Vedra Beach, FL 32082-2231
Phone (904) 273-2717

Merit-based Incentive Payment System (MIPS)

Final score
90.79 of 100Reported as group
Quality
84.04
Promoting interoperability
100
Improvement activities
40
Cost
85.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9244082FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaches Dermatology, P.a. CurrentSince Oct 18, 2009 Accepting new patients

Locations

1545 S 14th St
Fernandina Beach, FL 32034
Phone (904) 202-4243

13111 Atlantic Blvd
Unit 4
Jacksonville, FL 32225
Phone (904) 221-3100

103 Solana Rd
#B
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

103B Solana Rd
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

103 Solana Rd
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

614 E Twincourt Trl
St Augustine, FL 32095
Phone (904) 808-7107

Interoperability endpoints

  • Direct secure messaging: hsomensatto@beachesderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1750514055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CROSSROAD LAKES DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824034",
            "telephone_number": "904-254-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103B SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822231",
            "telephone_number": "904-273-2717",
            "fax_number": "904-273-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMENSATTO",
        "first_name": "HANNAH",
        "middle_name": "LOGIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9244082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.