Active NPI
Geralyn C Hahne, PA C
- Physician Assistant
- Isabel, SD
National Provider Identifier
1972585404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0496
- Practice address
- 118 N. Main
Isabel, SD 57633-0097 - Phone
- (605) 466-2120
- Fax
- (605) 466-2190
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0496 | SD | Primary |
Addresses
Primary practice location
118 N. Main
Isabel, SD 57633-0097
Mailing address
PO Box 97
Isabel, SD 57633-0097
Phone (605) 466-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4323772 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobridge Regional Hospital | Past | Accepting new patients |
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.
-
- Rural Health Clinic/Center
- Mobridge, SD
- NPI 1275502577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1972585404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "ISABEL",
"state": "SD",
"postal_code": "576330097",
"telephone_number": "605-466-2120",
"fax_number": "605-466-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N. MAIN",
"city": "ISABEL",
"state": "SD",
"postal_code": "576330097",
"telephone_number": "605-466-2120",
"fax_number": "605-466-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHNE",
"first_name": "GERALYN",
"middle_name": "C",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4323772",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Isabel, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.