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RICHARD HANNA
NPI 1124993704
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since October 06, 2025PECOS Enrolled
2500 W FOREST PARK AVE, BALTIMORE, MD 21215(443) 844-7833 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Hanna NPPES

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

RICHARD HANNA (NPI 1124993704) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R238580) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124993704
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRICHARD HANNA
Location Address2500 W FOREST PARK AVEBaltimore, MD 21215-7913
Mailing Address2500 W Forest Park AveBaltimore, MD 21215-7913 · (443) 844-7833
Phone(443) 844-7833
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 6, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1124993704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R238580
2500 W FOREST PARK AVE, Baltimore, MD 21215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Hanna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870071582
PECOS Enrollment IDI20260203001129
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Hanna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Victorious Mental Healthcare LLC
0.3 mi
Mental Health (Including Community Mental Health Center)
2901 DRUID PARK DR STE A202
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
NPI 1649925785 (410) 488-5171
Parkway Mental Health And Wellness
6.2 mi
Psychiatric/Mental Health
1777 REISTERSTOWN RD STE 268
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
NPI 1477489235 (443) 406-8125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Hanna's NPI number?

The NPI number for Richard Hanna is 1124993704. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Richard Hanna located?

Richard Hanna practices at 2500 W Forest Park Ave, Baltimore, MD 21215. The listed phone number is (443) 844-7833.

What is Richard Hanna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Richard Hanna enrolled in Medicare?

Yes. Richard Hanna is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Hanna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Hanna reassigns Medicare benefits to 2 organizations: Victorious Mental Healthcare LLC (Baltimore, MD) and Parkway Mental Health And Wellness (Pikesville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Hanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Hanna was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.