NICKOLAS F HANNA (MD) – Family Medicine Physician, NPI 1487732855

NICKOLAS F HANNA (MD) is a healthcare provider. based in Middleton, Wisconsin. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 50803-20 (WI). The NPI Number for NICKOLAS F HANNA (MD) is 1487732855

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
NICKOLAS F HANNA (MD)
NPI
1487732855
Phone
(608) 203-8022
Address
3207 LAURA LN STE 105
Enumeration Date
1 November 2006
Last Update Date
6 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082038022
Graduation Year
2005 (21 years ago)
PAC ID
7214002633
Group Practice PAC ID
6901182955
Professional Enrollment ID
I20080820000287
Address ID
WI535621428MI3207XLNXX301

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
nhanna331926@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,050 FAMILY PRACTICE in WI

Provider Addresses for NICKOLAS F HANNA (MD)

  • 3207 LAURA LN STE 105

    MIDDLETON, WI 535621428

    Phone: (608) 203-8022

    Fax: (608) 203-8041

    Type: Mailing

  • Valley Ridge Plaza, Orchid Heights Commercial, City of Middleton, Dane County, Wisconsin, 53562, United States

    MIDDLETON, WI 535622053

    Phone: (608) 203-8022

    Fax: (608) 203-8041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,853.

Total Amount is formed as General ($1,853) + Research ($0) + Ownership ($0) = $1,853.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: USWM, LLC ($1,479).

Total Amount

$1,853

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,853

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2008-08-20

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
I20080820000287IFamily PracticeWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8013$0
View full utilization report →

Insurance plans in this area (ZIP 53562)

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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: 6901182955View full group profile
NameSpecialtyState
Mental Health CounselorWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Does NICKOLAS F HANNA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICKOLAS F HANNA (MD) uses 1487732855.
Can I rely on NICKOLAS F HANNA (MD) being an active provider?
As of the registry snapshot, NICKOLAS F HANNA (MD) is marked active.
What is NICKOLAS F HANNA (MD) best known for clinically?
Directory data describes NICKOLAS F HANNA (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NICKOLAS F HANNA (MD)?
NICKOLAS F HANNA (MD)'s geographic hint is Middleton, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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