JODI HANAUSKA (PA-C) – Surgical Physician Assistant, NPI 1811997000

JODI HANAUSKA (PA-C) is a healthcare provider. based in Springfield, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 00714 (OR). The NPI Number for JODI HANAUSKA (PA-C) is 1811997000

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JODI HANAUSKA (PA-C)
NPI
1811997000
Phone
(541) 686-8353
Address
3355 RIVERBEND DR
Enumeration Date
28 July 2005
Last Update Date
7 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412226000
Graduation Year
2000 (26 years ago)
PAC ID
5395757785
Group Practice PAC ID
9032023270
Professional Enrollment ID
I20060629000383
Address ID
OR974778800SP3333XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for JODI HANAUSKA (PA-C)

  • 3355, Riverbend Drive, Springfield, Lane County, Oregon, 97477, United States

    SUITE 400

    SPRINGFIELD, OR 974778800

    Phone: (541) 686-8353

    Fax: (541) 681-3078

    Type: Location

  • 3377 Riverbend Dr Fl 5

    Springfield, OR 974778803

    Phone: (541) 222-8400

    Fax: (541) 222-8401

    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: 2006-06-29

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
I20060629000383IPhysician AssistantORTBD

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
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment4121$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment2525$0
99205New patient office or other outpatient visit, 60-74 minutes2121$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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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: 9032023270View full group profile

Reviews

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Frequently asked questions

Does JODI HANAUSKA (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JODI HANAUSKA (PA-C) uses 1811997000.
Does the file indicate JODI HANAUSKA (PA-C) is practicing under active NPI?
Directory data currently reports JODI HANAUSKA (PA-C) as active.
What taxonomy line describes JODI HANAUSKA (PA-C)?
For research purposes, treat JODI HANAUSKA (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JODI HANAUSKA (PA-C) on a map?
Expect Springfield, Oregon as a primary anchor for JODI HANAUSKA (PA-C) unless the record lists multiple sites.
Why does JODI HANAUSKA (PA-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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