STEPHEN HANNEKEN (PA-C) – Medical Physician Assistant, NPI 1073632022

STEPHEN HANNEKEN (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MPA.5574 (SC). The NPI Number for STEPHEN HANNEKEN (PA-C) is 1073632022

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN HANNEKEN (PA-C)
NPI
1073632022
Phone
(215) 612-4000
Address
10800 KNIGHTS RD
Enumeration Date
29 March 2007
Last Update Date
15 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8435078925
Graduation Year
2006 (20 years ago)
PAC ID
8022192236
Group Practice PAC ID
3274893359
Professional Enrollment ID
I20250117000143
Address ID
SC294452794GO515XXAVEX400

Contacts

Secure Messaging
NJExchange@patientfirstclinics.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:19State licenses:1Other names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080227000206IPhysician AssistantNJTBD
I20250117000143IPhysician AssistantSCTBD

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
99284Emergency department visit with moderate level of medical decision making4949$0
99285Emergency department visit with high level of medical decision making3939$0
99283Emergency department visit with low level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 19114)

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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: 3274893359View full group profile
NameSpecialtyState
Physician AssistantSC
Physician AssistantSC
Family Practice, General PracticePA
Physician AssistantPA
Physician AssistantSC
Physician AssistantMI
Physician AssistantSC
Nurse PractitionerKY
Nurse PractitionerCO
Family PracticeSC

Reviews

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Frequently asked questions

How is STEPHEN HANNEKEN (PA-C) identified in CMS data?
CMS-hosted NPPES data lists STEPHEN HANNEKEN (PA-C) with NPI 1073632022.
Is STEPHEN HANNEKEN (PA-C) listed as active for patients and plans?
The listing shows STEPHEN HANNEKEN (PA-C) as active in the NPI system.
What is STEPHEN HANNEKEN (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for STEPHEN HANNEKEN (PA-C) here. Clinical services aligned with this taxonomy classification.
Does STEPHEN HANNEKEN (PA-C) list a practice location?
Patients near Philadelphia, Pennsylvania may find STEPHEN HANNEKEN (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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