Hannah Angelella
Individual provider Active NPI Physician Assistant · Altavista, VA
NPI 1942995402 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1942995402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110010585 (VA)
- Practice address
- 1280A Main St
Altavista, VA 24517-1465 - Phone
- (434) 309-1165
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centra Medical Group LLC
Practice addresses (Care Compare)
1280 Main St a
Altavista, VA 24517-1465
Phone (434) 309-1165
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033
Hospital & facility affiliations
- Centra Home Health
- Centra Health - Lynchburg Gen Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129000898 | MD | Practitioner - Physician Assistant | 7315395522 | Reassigns benefits to 1 organization |
| I20250314001799 | VA | Practitioner - Physician Assistant | 7315395522 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Single Specialty | Current |
Accepting new patients |
| Cep America LLC | Current |
Accepting new patients | |
| Centra Medical Group, LLC | Single Specialty | Current |
Accepting new patients |
| Centra Medical Group, LLC | Single Specialty | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
1280A Main St
Altavista, VA 24517
Phone (434) 309-1165
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0009091 | MD | |
| Physician Assistant | 363A00000X | |||
| Physician Assistant |
363A00000X | 0110010585 | VA | Yes |
Addresses
Primary practice location
1280A Main St
Altavista, VA 24517-1465
Mailing address
1280A Main St
Altavista, VA 24517-1465
Other practice location 1
542 Rich Mar St
Westminster, MD 21158-9467
Phone (443) 929-0253
Other providers in Altavista, VA
- Altavista Adult Day Care Center. Inc
- Altavista Life Saving and First Aid Crew, Incorporated
- Altavista Medical & Oncology Massage Therapy
- Anga'S Transportation LLC
- Kelly Leigh Austin Tuck
- Autumn Care of Altavista, LLC
- Autumn Corporation
- Leslie Lindsay Aylor
- Clifton Boley Jr.
All providers in Altavista, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.