KIMBERLY ANNE VERES HANNAH PA-C
NPI 1114220704
Physician Assistant in Northville, MI

Q: What is Kimberly Hannah's NPI number?

The NPI number for Kimberly Hannah is 1114220704. It was assigned to this individual provider in the NPPES registry on December 21, 2010.

Q: What is Kimberly Hannah's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hannah was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 21, 2010PECOS Enrolled

39901 TRADITIONS DR, SUITE 110, NORTHVILLE, MI 48168(248) 305-4400 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kimberly Anne Veres Hannah Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANNE VERES HANNAH PA-C (NPI 1114220704) is an individual physician assistant in Northville, Michigan, licensed in Michigan (5601008166) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114220704

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY ANNE VERES HANNAHCredential: PA-C

Location Address39901 TRADITIONS DR, SUITE 110Northville, MI 48168-9493

Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047

Phone(248) 305-4400

Sole ProprietorNo

Enumeration DateDecember 21, 2010

Last NPPES UpdateMay 10, 2017

✔ NPI 1114220704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MI · 5601008166✔ Licensed in CA · 21298

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

39901 TRADITIONS DR, Northville, MI 48168

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Anne Veres Hannah Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48168 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCY HOLLER PHARMD, BCPS

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)