ALEXIS MACKENZIE HANNAH
NPI 1255084679
Physician Assistant in Lima, OH

Active since January 27, 2022PECOS EnrolledAccepts Medicare Assignment
1003 BELLEFONTAINE AVE STE 200, LIMA, OH 45804(419) 224-5915(419) 224-5918 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2023, Jan 27, 2022 (2 updates tracked since 2022).

About Alexis Mackenzie Hannah NPPES

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

ALEXIS MACKENZIE HANNAH (NPI 1255084679) is an individual physician assistant in Lima, Ohio and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1255084679
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXIS MACKENZIE HANNAH
Location Address1003 BELLEFONTAINE AVE STE 200Lima, OH 45804-1803
Mailing Address10810 Reservoir RdAda, OH 45810-9213
Fax(419) 224-5918
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 27, 2022
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
NPI 1255084679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1003 BELLEFONTAINE AVE STE 200, Lima, OH 45804

Other Names 1

Former Name (1)Alexis Mackenzie Amburgey

Secondary Practice Location 1

Location 14405 N Holland Sylvania RdToledo, OH 43623-3529 · Phone (567) 803-0426

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

Alexis Mackenzie Hannah 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 ID345635280
PECOS Enrollment IDI20220311001475
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Nurse Practitioner (Acute Care)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine (Cardiovascular Disease)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine (Cardiovascular Disease)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine (Cardiovascular Disease)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Internal Medicine
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1003 BELLEFONTAINE AVE STE 200
LIMA, OH 45804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255084679, enumerated as an "individual" on January 27, 2022.

The provider is located at 1003 BELLEFONTAINE AVE STE 200 LIMA, OH 45804 and the phone number is (419) 224-5915.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: CareSource, MedMutual and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.

Alexis Hannah is affiliated with: LIMA MEMORIAL HEALTH SYSTEM, WILSON MEMORIAL HOSPITAL and MERCY HEALTH-ST RITA'S MEDICAL CENTER.