Individual provider Active NPI

Hannah Elizabeth Mendez, PA-S

  • Physician Assistant
  • Davenport, IA
National Provider Identifier
1912513417
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1320 W Lombard St
Davenport, IA 52804-2029
Phone
(563) 333-6069
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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 Primary

Addresses

Primary practice location

1320 W Lombard St
Davenport, IA 52804-2029

Mailing address

2172 Groveland Way
Shakopee, MN 55379-4339
Phone (612) 250-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220707002786 AZ Practitioner - Physician Assistant 8123408168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toca at Banner Health LLCGroup PAC ID 3072934777, 26 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211

5002 S Mill Ave
Suite 101
Tempe, AZ 85282-6828
Phone (602) 277-6211

9377 E Bell Rd
Suite 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
60.29
Promoting interoperability
98
Improvement activities
40
Cost
71.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9087AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Toca at Banner Health LLC Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients

Locations

18700 N 64th Dr
Ste 220
Glendale, AZ 85308

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Ste 101
Tempe, AZ 85282

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1912513417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 GROVELAND WAY",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794339",
            "telephone_number": "612-250-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W LOMBARD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528042029",
            "telephone_number": "563-333-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.