MS. JOHANNA J HANAWI (NP) – Nurse Practitioner, NPI 1265593891
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
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Provider Addresses for MS. JOHANNA J HANAWI (NP)
17360, Brookhurst Street, Colonia Juarez, Fountain Valley, Orange County, California, 92708, United States
ATTN: NETWORK MANAGEMENT
FOUNTAIN VALLEY, CA 927083720
Phone: (657) 241-3592
Fax: (714) 665-4614
Type: Mailing
11420, Warner Avenue, Fountain Valley, Orange County, California, 92708, United States
FOUNTAIN VALLEY, CA 927082529
Phone: (714) 549-1300
Fax: (949) 798-4406
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-05-22
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070522000744 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 237 | 17 | $0 |
| 85610 | Blood test, clotting time | 142 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 48 | $0 |
Insurance plans in this area (ZIP 92708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology | CA | |
| Hospitalist, Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Nurse Practitioner | CA | |
| Neurology, Internal Medicine | CA | |
| - | CA | |
| - | CA |
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