Alecia Hathaway

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25253 Issued in WV

Practice address

2101 Chapline St
Wheeling, WV 26003-3875

Phone

(304) 232-7151

Fax

(304) 232-6128

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, WV2 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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ganzer - Hahn Dermatology Associates, PLLCGroup PAC ID 1951536564, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Nurse Practitioner

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.

• Ganzer - Hahn Dermatology Associates, PLLC

  dba Ohio Valley Dermatology

  • Dermatology Physician
  • Wheeling, WV
  • NPI 1548692197

  OH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1861869638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WILLETA AVE",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033875",
            "telephone_number": "304-232-7151",
            "fax_number": "304-232-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "ALECIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "25253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "46-2057899",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Hartz, PT, DPT
• Jeffrey George Harvath
• Tracy Harvey
• M. Lee Haselkorn, M.D.
• Larissa Idalmis Hastings, MOTR/L
• Ashley Danielle Haught, PA-C
• Keith Haught
• Rebecca Ruth Haught
• Sydney Haught, BCBA
• Mary Margaret Haus, MD

• Family Nurse Practitioner in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.