Individual provider Active NPI

Hannah Nie Feng, PA

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1801488291
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116557 Issued in FL
Practice address
801 Anchor Rode Dr Ste 100
Naples, FL 34103-2742
Phone
(239) 263-1717
Fax
(239) 403-9410
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA9116557 FL Primary

Addresses

Primary practice location

801 Anchor Rode Dr Ste 100
Naples, FL 34103-2742

Mailing address

6545 Monterey PT Unit 102
Naples, FL 34105-5074
Phone (239) 682-1696

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
I20221027003336 FL Practitioner - Physician Assistant 2961879317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa D Zack MD PAGroup PAC ID 3274629340, 6 clinicians

Practice addresses (Care Compare)

19910 S Tamiami TRL
Suite B
Estero, FL 33928-4140
Phone (239) 263-1717

801 Anchor Rode Dr
Suite 100
Naples, FL 34103-2742
Phone (239) 263-1717

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Coastal Surgery Center, Inc PastSince Sep 8, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1801488291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 MONTEREY PT UNIT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055074",
            "telephone_number": "239-682-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ANCHOR RODE DR STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032742",
            "telephone_number": "239-263-1717",
            "fax_number": "239-403-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "HANNAH",
        "middle_name": "NIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.