Individual provider Active NPI

Hannah Christine Bauman, PA-C

  • Physician Assistant
  • Leawood, KS
National Provider Identifier
1831841055
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02902 Issued in KS
Practice address
11550 Granada St
Leawood, KS 66211-1453
Phone
(913) 451-7546
NPI assigned
Jan 19, 2022
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 2022048909 MO
Physician Assistant 363A00000X 15-02902 KS Primary
Medical Physician Assistant 363AM0700X 60623 CA

Addresses

Primary practice location

11550 Granada St
Leawood, KS 66211-1453

Mailing address

11550 Granada St
Leawood, KS 66211-1453
Phone (816) 351-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230628002916 CA Practitioner - Physician Assistant 2365801065 Reassigns benefits to 1 organization
I20240426001343 KS Practitioner - Physician Assistant 2365801065 Reassigns benefits to 1 organization
I20250124003021 MO Practitioner - Physician Assistant 2365801065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3265 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 524-4747

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60623CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Cancer Specialists, LLC CurrentSince Jun 1, 2024 Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients

Locations

11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546

7901 W 135th St
Overland Park, KS 66223
Phone (913) 451-7546

8380 N Tullis Ave
Kansas City, MO 64158
Phone (816) 524-4747

3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747

Interoperability endpoints

  • Direct secure messaging: hbauman@kansascity.emadirect.md

Organizations & group practices 5

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1831841055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 GRANADA ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "816-351-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 GRANADA ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "913-451-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "HANNAH",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022048909",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02902",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "60623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.