Individual provider Active NPI

Deanna N Hathaway, PA-C

  • Physician Assistant
  • Hingham, MA
National Provider Identifier
1881009009
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5117 Issued in MA
Practice address
2 Pond Park Rd Ste 102
Hingham, MA 02043-4354
Phone
(781) 337-5555
Fax
(781) 335-6047
NPI assigned
Jun 26, 2014
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5117 MA Primary

Addresses

Primary practice location

2 Pond Park Rd Ste 102
Hingham, MA 02043-4354

Mailing address

71 Border Rd Ste 300
Waltham, MA 02451-1044

Other names 1

  • Deanna Nicole Packard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141119000249 MA Practitioner - Physician Assistant 9638391055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Orthopedics LLCGroup PAC ID 7517057284, 37 clinicians

Practice addresses (Care Compare)

2 Pond Park Rd
Suite 102
Hingham, MA 02043-4354
Phone (781) 337-5555

360 Brockton Ave
Suite 101
Abington, MA 02351-2186
Phone (781) 337-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

Merit-based Incentive Payment System (MIPS)

Final score
76.46 of 100Reported as group
Quality
72.66
Promoting interoperability
92
Improvement activities
40
Cost
55.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC CurrentSince Apr 1, 2026 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Apr 1, 2026 Accepting new patients
South Shore Orthopedics, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

360 Brockton Ave
Ste 101
Abington, MA 02351
Phone (781) 337-5555

1 Donalds Way
Ste 202
East Bridgewater, MA 02333
Phone (508) 350-2975

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

71 Border Rd
Ste 300
Waltham, MA 02451
Phone (781) 890-2133

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1881009009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BORDER RD STE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD STE 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434354",
            "telephone_number": "781-337-5555",
            "fax_number": "781-335-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "DEANNA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "PACKARD",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.