Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Hannah Boustany's NPI number?

The NPI number for Hannah Boustany is 1184474496. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Hannah Boustany's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Hannah Boustany was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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 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: August 09, 2026.

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

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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

Phone(904) 516-3737

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

90 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

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.

18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

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.

GRACE HENDRIX PA

Physician Assistant (Medical)