TASHA L HANNAH
NPI 1265155121
Nurse Practitioner - Family in Louisville, MS

Active since September 26, 2022PECOS Enrolled
2095 S CHURCH AVE, LOUISVILLE, MS 39339(662) 803-0415 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2023, Jul 12, 2023, Sep 26, 2022 (3 updates tracked since 2022).

About Tasha L Hannah NPPES

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

TASHA L HANNAH (NPI 1265155121) is an individual family provider in Louisville, Mississippi, licensed in Mississippi (F04230105) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265155121
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTASHA L HANNAH
Location Address2095 S CHURCH AVELouisville, MS 39339-2949
Mailing AddressPo Box 764Louisville, MS 39339-0764 · (662) 803-5084
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1265155121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · F04230105✔ Licensed in MS · 905974
2095 S CHURCH AVE, Louisville, MS 39339

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tasha L Hannah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tasha Hannah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
2095 S CHURCH AVE
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 3 clinicians in this Medicare group
Urgent Care
1272 EVELYN GANDY PKWY STE 60
Petal, MS 39465
  • Reassigned Medicare billing, Mississippi enrollment
  • 38 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39339 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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 2

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

Nurse Practitioner
2095 S CHURCH AVE
LOUISVILLE, MS 39339
Nurse Practitioner (Family)
2095 S CHURCH AVE
LOUISVILLE, MS 39339

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 Tasha Hannah's NPI number?

The NPI number for Tasha Hannah is 1265155121. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Tasha Hannah located?

Tasha Hannah practices at 2095 S Church Ave, Louisville, MS 39339. The listed phone number is (662) 803-0415.

What is Tasha Hannah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tasha Hannah enrolled in Medicare?

Yes. Tasha Hannah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tasha Hannah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tasha Hannah reassigns Medicare benefits to 3 organizations: Focuscare, LLC (Louisville, MS), Petal Urgent Care LLC (Petal, MS) and Community Care Health Network LLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tasha Hannah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tasha Hannah accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tasha Hannah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tasha Hannah was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.