Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HANNAH MARIE BOUSTANY PA-C
NPI 1184474496
Physician Assistant - Medical in Jacksonville, FL

Active since March 27, 2024PECOS EnrolledAccepts Medicare Assignment
7015 A C SKINNER PKWY BLDG 100, JACKSONVILLE, FL 32256(904) 516-3737(904) 363-7453 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2026, May 8, 2024 (2 updates tracked since 2024).

About Hannah Marie Boustany Pa-c NPPES

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

HANNAH MARIE BOUSTANY PA-C (NPI 1184474496) is an individual medical provider in Jacksonville, Florida, licensed in Washington (PA.PA.61516992) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Mount Vernon.

NPPES Registry Identity

NPI1184474496
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHANNAH MARIE BOUSTANYCredential: PA-C
Location Address7015 A C SKINNER PKWY BLDG 100Jacksonville, FL 32256-6932
Mailing Address7751 Belfort Pkwy Ste 350Jacksonville, FL 32256-6951 · (904) 363-7453
Fax(904) 363-7453
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2023
Enumeration DateMarch 27, 2024
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1184474496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA.PA.61516992
7015 A C SKINNER PKWY BLDG 100, Jacksonville, FL 32256

Secondary Practice Location 1

Location 1901 S 5th StMount Vernon, WA 98274-3942 · Phone (360) 814-7300

Accepted Insurance

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

Hannah Marie Boustany 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.

PECOS PAC ID5294177358
PECOS Enrollment IDI20240521004667
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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 90 times for 42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 18 times for 18 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hannah Boustany is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SKAGIT VALLEY HOSPITAL1415 E KINCAID STREET
MOUNT VERNON, WA 98274
(360) 424-4111Acute Care Hospitals

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Social Worker (Clinical)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Nurse Practitioner (Adult Health)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Radiology (Radiation Oncology)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Radiology (Radiation Oncology)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256
Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY BLDG 100
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184474496, enumerated as an "individual" on March 27, 2024.

The provider is located at 7015 A C SKINNER PKWY BLDG 100 JACKSONVILLE, FL 32256 and the phone number is (904) 516-3737.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.

Hannah Boustany is affiliated with: SKAGIT VALLEY HOSPITAL.