Individual provider Active NPI

Sara Beth Hannon, PA-C

  • Physician Assistant
  • Noblesville, IN
National Provider Identifier
1790750990
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000570A Issued in IN
Practice address
325 Westfield Rd Ste C
Noblesville, IN 46060-1496
Phone
(317) 770-1700
Fax
(317) 770-1727
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 10000570A IN Primary

Addresses

Primary practice location

325 Westfield Rd Ste C
Noblesville, IN 46060-1496

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other names 1

  • Sara Beth Hillman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon791527@DirectC.mercy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041123000880 IN Practitioner - Physician Assistant 7618932161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

14535 A Hazel Dell Pkwy
Carmel, IN 46033-9401
Phone (317) 815-1700

14585 Hazel Dell Pkwy
Carmel, IN 46033-9401
Phone (317) 214-5030

325 Westfield Rd
Suite C
Noblesville, IN 46060-1496
Phone (317) 770-1700

325 Westfield Rd B
Riverview Health Physicians Foot and Ankle Su
Noblesville, IN 46060-1496
Phone (317) 770-7660

395 Westerfield Rd
Noblesville, IN 46060-1425

395 Westfield Dr
Noblesville, IN 46060-1425

395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157

395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440

395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520

395 Westfield Rd RM
Noblesville, IN 46060-1425

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10000570AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Feb 1, 2012 Accepting new patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Physician Assistant Surgical Services, Inc Past Accepting new patients

Locations

14535A Hazel Dell Pkwy
Carmel, IN 46033
Phone (317) 705-4360

325 Westfield Rd
Ste C
Noblesville, IN 46060
Phone (317) 770-1700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

325 Westfield Rd
Ste A
Noblesville, IN 46060
Phone (317) 353-9336

Interoperability endpoints

  • Direct secure messaging: shannon791527@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1790750990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WESTFIELD RD STE C",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601496",
            "telephone_number": "317-770-1700",
            "fax_number": "317-770-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000570A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon791527@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "325 Westfield Rd Ste C",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460601496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HILLMAN",
            "middle_name": "BETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.