STEPHEN HANNEKEN (PA-C) – Medical Physician Assistant, NPI 1073632022
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for STEPHEN HANNEKEN (PA-C)
10800 KNIGHTS RD
DEPT OF EMERGENCY MEDICINE
PHILADELPHIA, PA 191144200
Phone: (215) 612-4000
Type: Mailing
2171 ROUTE 70 W
CHERRY HILL, NJ 080022733
Phone: (856) 406-0023
Type: Location
5000 COX RD DEPT OF
GLEN ALLEN, VA 230609263
Phone:
Type: Mailing
2510 N KINGS HWY
MYRTLE BEACH, SC 295773037
Phone: (843) 626-2273
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $19 |
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: 2025-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080227000206 | I | Physician Assistant | NJ | TBD |
| I20250117000143 | I | Physician Assistant | SC | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 49 | 49 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 39 | 39 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 15 | $0 |
Insurance plans in this area (ZIP 19114)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | SC | |
| Physician Assistant | SC | |
| Family Practice, General Practice | PA | |
| Physician Assistant | PA | |
| Physician Assistant | SC | |
| Physician Assistant | MI | |
| Physician Assistant | SC | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | CO | |
| Family Practice | SC |
Reviews
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