MS. HANNAH HAGEMAN LICARI PA-C
NPI 1164893681
Physician Assistant in Los Angeles, CA
About Ms. Hannah Hageman Licari Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. HANNAH HAGEMAN LICARI PA-C (NPI 1164893681) is an individual physician assistant in Los Angeles, California, licensed in California (PA55139) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Hannah Hageman Licari Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Hannah Licari's NPI number?
The NPI number for Hannah Licari is 1164893681. It was assigned to this individual provider in the NPPES registry on October 9, 2015.
Where is Hannah Licari located?
Hannah Licari practices at 1450 San Pablo St Ste 5400, Los Angeles, CA 90033. The listed phone number is (323) 442-5860.
What is Hannah Licari's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Hannah Licari enrolled in Medicare?
Yes. Hannah Licari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Hannah Licari was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Hannah Hageman Licari, PA-C · NPI 1164893681
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 9, 2015.
## Identity
- **NPI:** 1164893681 (Entity type: Individual)
- **Enumerated:** October 9, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA55139 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 SAN PABLO ST STE 5400, Los Angeles, CA 90033-5331
- **Phone:** (323) 442-5860
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164893681) · Data from the CMS NPPES public registry.