MRS. ANDREA NICOLE O'HANLON (PA-C) – Physician Assistant, NPI 1275826463

MRS. ANDREA NICOLE O'HANLON (PA-C) is a healthcare provider. based in Malta, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002164 (IA). The NPI Number for MRS. ANDREA NICOLE O'HANLON (PA-C) is 1275826463

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANDREA NICOLE O'HANLON (PA-C)
NPI
1275826463
Phone
(740) 962-6111
Address
859 N MAIN ST
Enumeration Date
19 May 2011
Last Update Date
23 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404219530
Graduation Year
2010 (16 years ago)
PAC ID
2567637119
Group Practice PAC ID
4789760216
Professional Enrollment ID
I20151027002022
Address ID
OH437259614CA1330XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MRS. ANDREA NICOLE O'HANLON (PA-C)

  • 859 N MAIN ST

    MALTA, OH 437589007

    Phone: (740) 962-6111

    Fax: (740) 962-2182

    Type: Mailing

  • 1330 CLARK ST

    CAMBRIDGE, OH 437259614

    Phone: (740) 421-9530

    Fax: (740) 421-9531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $1,321.

Total Amount is formed as General ($1,321) + Research ($0) + Ownership ($0) = $1,321.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($390).

Total Amount

$1,321

General + Research + Ownership

Payments

105

Total payment records

General Amount

$1,321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151027002022IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level6023$0
82962Blood glucose (sugar) test performed by hand-held instrument4419$0
View full utilization report →

Insurance plans in this area (ZIP 43758)

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Provider's Procedures

MRS. ANDREA NICOLE O'HANLON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH83036Hemoglobin A1C level2716

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789760216View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Family PracticeOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to MRS. ANDREA NICOLE O'HANLON (PA-C)?
The federal identifier for MRS. ANDREA NICOLE O'HANLON (PA-C) is NPI 1275826463.
Is MRS. ANDREA NICOLE O'HANLON (PA-C) currently active in the NPI registry?
CMS-published data lists MRS. ANDREA NICOLE O'HANLON (PA-C) as an active registrant.
What kind of provider is MRS. ANDREA NICOLE O'HANLON (PA-C)?
The page reflects Physician Assistant for MRS. ANDREA NICOLE O'HANLON (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for MRS. ANDREA NICOLE O'HANLON (PA-C)?
We surface Malta, Ohio for MRS. ANDREA NICOLE O'HANLON (PA-C) based on available NPPES addresses.
Is MRS. ANDREA NICOLE O'HANLON (PA-C) a real provider?
This page reflects official NPPES data for NPI 1275826463. Always confirm identity and privileges with the practice and licensing boards.

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