HANNAH ELIZABETH WADSWORTH (PHD) – Clinical Neuropsychologist, NPI 1689290991

HANNAH ELIZABETH WADSWORTH (PHD) is a healthcare provider. based in Liberty lake, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 095471 (IA). The NPI Number for HANNAH ELIZABETH WADSWORTH (PHD) is 1689290991

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH ELIZABETH WADSWORTH (PHD)
NPI
1689290991
Phone
(866) 747-2455
Address
PO BOX 12
Enumeration Date
23 June 2020
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
4063271950
Graduation Year
2018 (8 years ago)
PAC ID
9739505694
Group Practice PAC ID
6608786306
Professional Enrollment ID
I20240404003226
Address ID
MT598024047MI601XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

192 CLINICAL PSYCHOLOGIST in IA

Provider Addresses for HANNAH ELIZABETH WADSWORTH (PHD)

  • PO BOX 12

    LIBERTY LAKE, WA 990190012

    Phone: (866) 747-2455

    Fax: (319) 384-9552

    Type: Mailing

  • 200 Hawkins Dr

    Iowa City, IA 522421009

    Phone: (319) 356-2671

    Fax: (319) 384-9552

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-2671

    Fax: (319) 384-9552

    Type: Mailing

  • 601 W SPRUCE ST STE K

    MISSOULA, MT 598024047

    Phone: (406) 327-3330

    Fax: (406) 327-2399

    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: 2024-04-04

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
I20240404003226IClinical PsychologistMTTBD

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
96133Evaluation of neuropsychological test, each additional hour22974$0
96132Evaluation of neuropsychological test, first hour7474$0
96116Exam of neurobehavioral status, first hour7373$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 6608786306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Cardiovascular Disease (Cardiology)MT
-MT
N E P H R O L O G YMT
-MT
Thoracic SurgeryIL
Internal Medicine, HospitalistMT
General Surgery, Colorectal Surgery (Proctology)WI
Internal MedicineID
Nurse PractitionerAK

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Frequently asked questions

How do payers reference HANNAH ELIZABETH WADSWORTH (PHD)?
For HANNAH ELIZABETH WADSWORTH (PHD), use NPI 1689290991 as the unique 10-digit identifier.
Is HANNAH ELIZABETH WADSWORTH (PHD) shown as active in public data?
Registry records indicate HANNAH ELIZABETH WADSWORTH (PHD) maintains an active NPI.
What area of care is associated with HANNAH ELIZABETH WADSWORTH (PHD)?
HANNAH ELIZABETH WADSWORTH (PHD)'s record emphasizes Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with HANNAH ELIZABETH WADSWORTH (PHD)?
Directory geography for HANNAH ELIZABETH WADSWORTH (PHD) centers on Liberty Lake, Washington.
Can I trust this NPI listing for HANNAH ELIZABETH WADSWORTH (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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