HANAN KALLASH (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1356735971
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
Provider Addresses for HANAN KALLASH (FNP)
10 EAST WILSON BLVD
MINUTE CLINIC
HAGERSTOWN, MD 21740
Phone: (410) 419-9184
Type: Location
1330 Amherst St
Winchester, VA 226013054
Phone: (540) 722-2369
Type: Location
118 FIESTA DR
STEPHENSON, VA 226561876
Phone: (410) 419-9184
Type: Mailing
10 E WILSON BLVD
HAGERSTOWN, MD 217407331
Phone: (410) 419-9184
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $416.
Total Amount is formed as General ($416) + Research ($0) + Ownership ($0) = $416.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($125).
Total Amount
$416
General + Research + Ownership
Payments
5
Total payment records
General Amount
$416
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $125 |
| ABBVIE INC. | $123 |
| Neurocrine BioSciences, Inc. | $76 |
| Gilead Sciences, Inc. | $55 |
| Janssen Pharmaceuticals, Inc | $37 |
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: 2015-10-12
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20151012002071 | I | Nurse Practitioner | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21740)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| - | WV | |
| Nurse Practitioner | WV | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | MD | |
| Certified Nurse Midwife (Cnm) | VA | |
| Nurse Practitioner | MD | |
| Clinical Psychologist | WV | |
| - | NC | |
| Nurse Practitioner | WV |
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