Active NPI
Erin Hanauer, PA-C
- Medical Physician Assistant
- Petaluma, CA
National Provider Identifier
1851490718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 004729
- Practice address
- 106 Lynch Creek Way Ste 8
North Bay Dermatology
Petaluma, CA 94954-2356 - Phone
- (707) 763-6816
- Fax
- (707) 763-1730
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 004729 | GA | |
| Medical Physician Assistant | 363AM0700X | PA21654 | CA | |
| Medical Physician Assistant | 363AM0700X | 004729 | GA | Primary |
Addresses
Primary practice location
106 Lynch Creek Way Ste 8
North Bay Dermatology
Petaluma, CA 94954-2356
Mailing address
106 Lynch Creek Way Ste 8
North Bay Dermatology
Petaluma, CA 94954-2356
Phone (707) 763-6816
Other practice location 1
6880 Palm Ave
Sebastopol, CA 95472-4270
Phone (707) 823-7628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Lynch Creek Way
Petaluma, CA 94954-2356
Phone (707) 763-6816
6880 Palm Ave
Sebastopol, CA 95472-4270
Phone (707) 823-7628
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Petaluma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.82 of 100
- Quality
- 96.29
- Improvement activities
- 40
- Cost
- 54.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.83 of 100
- Quality
- 99.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004729 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Sebastopol Medical Group | Current | Accepting new patients |
Locations
6880 Palm Ave
Sebastopol, CA 95472
Phone (707) 769-1074
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.
-
- Ophthalmology Physician
- Sebastopol, CA
- NPI 1295729382
-
- Specialist
- Petaluma, CA
- NPI 1275622664
-
- Eyewear Supplier
- Sebastopol, CA
- NPI 1619012119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1851490718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LYNCH CREEK WAY STE 8",
"address_2": "NORTH BAY DERMATOLOGY",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542356",
"telephone_number": "707-763-6816",
"fax_number": "707-763-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LYNCH CREEK WAY STE 8",
"address_2": "NORTH BAY DERMATOLOGY",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542356",
"telephone_number": "707-763-6816",
"fax_number": "707-763-1730"
}
],
"practiceLocations": [
{
"address_1": "6880 Palm Ave",
"address_purpose": "LOCATION",
"city": "Sebastopol",
"state": "CA",
"postal_code": "954724270",
"country_code": "US",
"telephone_number": "707-823-7628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANAUER",
"first_name": "ERIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "004729",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21654",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "004729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.