Fahima Hannoufa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-16186 Issued in NC

Practice address

660-A South Main St Madison
Madison, WV 25130

Phone

(304) 369-4250

Fax

(304) 369-8808

NPI assigned

Feb 20, 2024

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Madison, WV
  • NPI 1285686725
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  dba BMH Comfort Clinic

  • Rural Health Clinic/Center
  • Comfort, WV
  • NPI 1407421431
  NPD
• Boone Memorial Hospital, Inc

  dba BMH Brighter Futures

  • Psychiatry Physician
  • Madison, WV
  • NPI 1871141366

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Care Compare affiliation

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1861257537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660-A SOUTH MAIN ST MADISON",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "25130",
            "telephone_number": "304-369-4250",
            "fax_number": "304-369-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660-A SOUTH MAIN ST MADISON",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "25130",
            "telephone_number": "304-369-4250",
            "fax_number": "304-369-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011604",
            "country_code": "US",
            "telephone_number": "252-522-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNOUFA",
        "first_name": "FAHIMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhannoufa1557765@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "100 Airport Rd",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Kay Hager
• Tarah Raeann Hager, PA-C
• Krista Hall
• Joetta Halstead
• Shannon Halstead
• Crystal Hanshaw
• Michael Joseph Hanshaw
• Maya Harless
• Wilbert Q Harless
• James Harmon

• Physician Assistant in Madison, WV
• Providers in Madison, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.

Verify at the official NPI Registry.