Hannah Michelle Smith Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 60537351 Issued in WA

Practice address

413 N Mission St
Wenatchee, WA 98801-2007

Phone

(509) 662-1955

Fax

(509) 662-6695

NPI assigned

Mar 13, 2015

Last updated

Mar 13, 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 names 1

• Hannah Michelle Smith Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311

  WA

  Medicare reassignment
• Anovaworks, PLLC

  • Occupational Medicine Clinic/Center
  • Wenatchee, WA
  • NPI 1922589852
  NPD (past)

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1881087922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RAPTOR HAVEN LN",
            "city": "TIETON",
            "state": "WA",
            "postal_code": "989475500",
            "telephone_number": "256-714-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012007",
            "telephone_number": "509-662-1955",
            "fax_number": "509-662-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HANNAH",
        "middle_name": "MICHELLE SMITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60537351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "SMITH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carter P. Willis, MD
• Valerie Willis, D.O.
• Suzan Irene Wilson-Taft, CDP
• Benjamin Joseph Robert Wilson, CDP
• Geneva Wilson, RNFA
• Lauren Wilson, PHARMD
• Sarah Annlouise Wily, RN
• Elizabeth Paige Window, PHARM.D.
• Christine C Wineberg, PSYD
• Jesse Manoah Winter

• Physician Assistant in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.