JACKIE LYNN HANNA
NPI 1245160597
Nurse Practitioner - Family in Mobridge, SD
About Jackie Lynn Hanna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE LYNN HANNA (NPI 1245160597) is an individual family provider in Mobridge, South Dakota, licensed in South Dakota (200912) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackie Lynn Hanna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57601 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackie Hanna's NPI number?
The NPI number for Jackie Hanna is 1245160597. It was assigned to this individual provider in the NPPES registry on May 20, 2026.
Where is Jackie Hanna located?
Jackie Hanna practices at 1309 10th Ave W, Mobridge, SD 57601. The listed phone number is (605) 845-3692.
What is Jackie Hanna's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackie Hanna enrolled in Medicare?
Yes. Jackie Hanna is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jackie Hanna was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jackie Lynn Hanna · NPI 1245160597
Family physician in Mobridge, South Dakota. Individual provider, active in the CMS NPPES registry since May 20, 2026.
## Identity
- **NPI:** 1245160597 (Entity type: Individual)
- **Enumerated:** May 20, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 200912 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1309 10TH AVE W, Mobridge, SD 57601-1146
- **Phone:** (605) 845-3692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245160597) · Data from the CMS NPPES public registry.