Roberta Sue Hahn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704203280 Issued in MI

Practice address

224 N Mill St
Saint Louis, MI 48880-1523

Phone

(989) 303-4101

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roberta.hahn.1@22056.direct.athenahealth.com

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.

• Prism Medical Associates, PC

  dba Prism Primary Care PLLC

  • Family Medicine Physician
  • Alma, MI
  • NPI 1407264237
  Medicare reassignment NPD
• Nephrology and Rheumatology Associates PLLC

  • Internal Medicine Physician
  • Grand Blanc, MI
  • NPI 1619738937
  NPD (past)

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

• Mymichigan Medical Center Alma

  • General Acute Care Hospital
  • Alma, MI
  • NPI 1023097771
  Care Compare affiliation
• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1770936866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 W DEERFIELD RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588516",
            "telephone_number": "989-513-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801523",
            "telephone_number": "989-303-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 E Blue Grass Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488586020",
            "country_code": "US",
            "telephone_number": "989-773-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 E Warwick Dr",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011088",
            "country_code": "US",
            "telephone_number": "989-463-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "ROBERTA",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704203280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Fisher
• Joseph Gelina, PA
• Jennifer Marie Gushen, RN
• Sarah Haesler, DC
• Krista Marie Hagarty, OTRL
• Seth Hubbard
• Erika Maria Huntoon
• Isabella Citizens for Health, Inc.
• Isabella Citizens for Health, Inc.
• Aubree Nykoal Johnson

• Family Nurse Practitioner in Saint Louis, MI
• Providers in Saint Louis, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.