ALEXIS MACKENZIE HANNAH – Physician Assistant, NPI 1255084679
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for ALEXIS MACKENZIE HANNAH
10810 RESERVOIR RD
ADA, OH 458109213
Phone:
Type: Mailing
4405 N HOLLAND SYLVANIA RD
TOLEDO, OH 436233529
Phone: (567) 803-0426
Type: Location
4405 N Holland Sylvania Rd
Toledo, OH 436233529
Phone: (567) 803-0426
Type: Location
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 458041803
Phone: (419) 224-5915
Fax: (419) 224-5918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $739.
Total Amount is formed as General ($739) + Research ($0) + Ownership ($0) = $739.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($173).
Total Amount
$739
General + Research + Ownership
Payments
33
Total payment records
General Amount
$739
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-03-11
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 |
|---|---|---|---|---|
| I20220311001475 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 23 | $0 |
| 81002 | Urinalysis, manual test | 15 | 11 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 45810)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Colorectal Surgery (Proctology) | OH | |
| Nurse Practitioner | OH |
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