Hannah M Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006755 Issued in MI

Practice address

1007 Harbor Hills Dr
Suite C
Marquette, MI 49855-8977

Phone

(906) 225-5458

Fax

(906) 225-1179

NPI assigned

Sep 27, 2013

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 3

Medicare fee-for-service enrollment

Enrolled in MI

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
• Bell Hospital Hospital, Ishpeming, MI, CCN 231321

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hannah.wilson@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grand Rapids, MI
  • NPI 1912347923
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Port Huron, MI
  • NPI 1801285549
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Marquette, MI
  • NPI 1891125290
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

• Acquisition Bell Hospital LLC

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Care Compare affiliation
• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation
• Rush Medical Foundation

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1902233539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9146",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR",
            "address_2": "SUITE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558977",
            "telephone_number": "906-225-5458",
            "fax_number": "906-225-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Ludington St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498294218",
            "country_code": "US",
            "telephone_number": "906-553-6093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301452",
            "country_code": "US",
            "telephone_number": "906-523-2223",
            "fax_number": "906-523-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HANNAH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.Wilson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3500 Ludington St Ste 300",
            "city": "Escanaba",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498294218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.Wilson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "500 Campus Dr",
            "city": "Hancock",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499301452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.Wilson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1007 Harbor Hills Dr",
            "address_2": "Suite C",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498558977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lacy Williams, MSN, APRN, FNP-BC
• McKaylyn Leigh Williams
• Piersan Elizabeth Suriano Williams, PT, DPT
• Kristine Willis
• Ellen M Wilson
• Mary Jane Wilson, BSW
• Robert Wilson
• Samuel Nicholas Wiltzius, PARM D.
• Erin Winkler, MS, CGC
• James Kenneth Winkler, Jr, MS, ATC

• Physician Assistant in Marquette, MI
• Providers in Marquette, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.