MARIAM HANNA PA-C
NPI 1225671639
Physician Assistant - Medical in Henderson, NV

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
270 W LAKE MEAD PKWY, HENDERSON, NV 89015(702) 877-5199 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2021, Oct 18, 2019 (2 updates tracked since 2019).

About Mariam Hanna Pa-c NPPES

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

MARIAM HANNA PA-C (NPI 1225671639) is an individual medical provider in Henderson, Nevada and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Avondale, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225671639
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARIAM HANNACredential: PA-C
Location Address270 W LAKE MEAD PKWYHenderson, NV 89015-7093
Mailing Address13310 N Plaza Del Rio Blvd Unit 1005Peoria, AZ 85381-0007
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1225671639 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
270 W LAKE MEAD PKWY, Henderson, NV 89015

Secondary Practice Location 1

Location 110825 W McDowell Rd., Suite 100Avondale, AZ 85392-8539 · Phone (844) 900-2567

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

Mariam Hanna 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 ID7618376377
PECOS Enrollment IDI20210528001745
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.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Physician Assistant (Medical)
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Nurse Practitioner (Primary Care)
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Nurse Practitioner
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Family Medicine
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Physician Assistant (Medical)
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Nurse Practitioner (Family)
270 W LAKE MEAD PKWY
HENDERSON, NV 89015
Family Medicine
270 W LAKE MEAD PKWY
HENDERSON, NV 89015

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 Mariam Hanna's NPI number?

The NPI number for Mariam Hanna is 1225671639. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Mariam Hanna located?

Mariam Hanna practices at 270 W Lake Mead Pkwy, Henderson, NV 89015. The listed phone number is (702) 877-5199.

What is Mariam Hanna's specialty?

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

Is Mariam Hanna enrolled in Medicare?

Yes. Mariam Hanna 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 Mariam Hanna was last updated on June 16, 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.