Individual provider Active NPI

Hannah Jo Bader, PA

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1750826343
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008059 Issued in MI
Practice address
248 Washington Ave Ste a
Bay City, MI 48708-5848
Phone
(989) 892-5664
NPI assigned
Jan 5, 2017
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 5601008059 MI Primary

Addresses

Primary practice location

248 Washington Ave Ste a
Bay City, MI 48708-5848

Mailing address

248 Washington Ave Ste a
Bay City, MI 48708-5848
Phone (989) 892-5664

Other practice location 1

3875 Bay Rd Ste 1S
Saginaw, MI 48603-2423
Phone (989) 793-9982

Other identifiers 1

IdentifierTypeStateIssuer
1750826343MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
N E Family Physicians & Therapy SVC Current Accepting new patients
Childrens Medical Group of Saginaw Bay PLLC PastSince Jan 7, 2024 Accepting new patients

Locations

1525 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 363-0055

1525 E Beltline Ave NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 363-0055

Interoperability endpoints

  • Direct secure messaging: hannah.bader.p1@direct.cmgsagbay.nextgenshare.com
  • Direct secure messaging: hbader76631@direct.metrohealth.net
  • FHIR API: https://api.platform.athenahealth.com/7895/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1750826343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 WASHINGTON AVE STE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085848",
            "telephone_number": "989-892-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 WASHINGTON AVE STE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085848",
            "telephone_number": "989-892-5664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 Bay Rd Ste 1S",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032423",
            "country_code": "US",
            "telephone_number": "989-793-9982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "HANNAH",
        "middle_name": "JO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750826343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.