Hanna Kristina Dennis, PA-C
Individual provider Active NPI Physician Assistant · Hollywood, MD
NPI 1831406883 · NPPES record last updated Jun 24, 2019
Key facts
- NPI
- 1831406883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C06453 (MD)
- Practice address
- 24035 Three Notch Rd
Hollywood, MD 20636 - Phone
- (301) 373-7100
- Fax
- (301) 373-6100
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Texas Southwestern Medical School at Dallas, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group - Southern Maryland LLC
Practice addresses (Care Compare)
22590 Shady CT
California, MD 20619-5009
Phone (301) 373-7900
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
PO Box
Suite 640
Hollywood, MD 20636-0640
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170830000098 | MD | Practitioner - Physician Assistant | 9335313071 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2158 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Topcare Medical PA | Past |
Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients |
Locations
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
Interoperability endpoints
- hanna.dennispac.p2@direct.msmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2158 | SC | |
| Physician Assistant | 363A00000X | PA07073 | TX | |
| Physician Assistant | 363A00000X | C06453 | MD | Yes |
Addresses
Primary practice location
24035 Three Notch Rd
Hollywood, MD 20636
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7100
Other practice location 1
4600 Goer Dr
Suite 205
North Charleston, SC 29406-6500
Phone (843) 554-1029
Other providers in Hollywood, MD
- Pamela M Chaney
- Carrie Cool-Paxton
- Crossroads Creative Counseling
- Aaron Davis
- Shashank Krishnaji Dengle
- Stacey Dent
- Jennifer Doney
- Wendy Kaye Drys
- Lisa Early
- Kristin K Famiglietti
All providers in Hollywood, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.