Individual provider Active NPI

Stephanie Hannah

  • Surgical Physician Assistant
  • Englewood, CO
National Provider Identifier
1851860969
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
500 E Hampden Ave Ste 200
Englewood, CO 80113-2885
Phone
(303) 783-8844
Fax
(303) 783-2002
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

500 E Hampden Ave Ste 200
Englewood, CO 80113-2885

Mailing address

3501 S Clarkson St
Englewood, CO 80113-3916
Phone (303) 783-8844

Other practice location 1

3501 S Clarkson St
Englewood, CO 80113-3916
Phone (303) 783-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220224002322 CO Practitioner - Physician Assistant 9436543048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
75.39
Promoting interoperability
100
Improvement activities
40
Cost
55.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro on Call PLLC Current Accepting new patients

Locations

1411 S Potomac St
Ste 450
Aurora, CO 80012
Phone (303) 695-4800

3511 S Clarkson St
Englewood, CO 80113
Phone (303) 351-7060

3501 S Clarkson St
Englewood, CO 80113
Phone (303) 594-7102

500 E Hampden Ave
Ste 200
Englewood, CO 80113

Interoperability endpoints

  • Direct secure messaging: stephanie.tu.1@19890.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19890/brand/1/csg/1/fhir/r4

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1851860969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133916",
            "telephone_number": "303-783-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132885",
            "telephone_number": "303-783-8844",
            "fax_number": "303-783-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 S Clarkson St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133916",
            "country_code": "US",
            "telephone_number": "303-783-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.