HANNA ANTLEY
NPI 1275426983
Nurse Practitioner - Family in Nacogdoches, TX

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 569-9481 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hanna Antley NPPES

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

HANNA ANTLEY (NPI 1275426983) is an individual family provider in Nacogdoches, Texas, licensed in Texas (F05251036) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Nacogdoches Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275426983
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHANNA ANTLEY
Location Address4920 NE STALLINGS DRNacogdoches, TX 75965-1254
Mailing Address1068 County Road 4550Pennington, TX 75856-6501 · (936) 546-1097
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 2, 2025
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1275426983 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
License✔ Licensed in TX · F05251036
4920 NE STALLINGS DR, Nacogdoches, TX 75965

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hanna Antley 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 ID2961906524
PECOS Enrollment IDI20250917001312
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

2

Medicare enrollment records show Hanna Antley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1204 N MOUND ST
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 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.

Hospital Affiliations CMS Care Compare

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

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450656
Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75965 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Pathology (Anatomic Pathology & Clinical Pathology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nurse Practitioner (Family)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Radiation Oncology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Specialist/Technologist, Other (Surgical Assistant)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nurse Practitioner (Family)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965

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 Hanna Antley's NPI number?

The NPI number for Hanna Antley is 1275426983. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Hanna Antley located?

Hanna Antley practices at 4920 NE Stallings Dr, Nacogdoches, TX 75965. The listed phone number is (936) 569-9481.

What is Hanna Antley's specialty?

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

Is Hanna Antley enrolled in Medicare?

Yes. Hanna Antley 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.

Which organizations bill Medicare for Hanna Antley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hanna Antley reassigns Medicare benefits to 2 organizations: Lone Star Integrated Acute Care Of East Texas PLLC (Nacogdoches, TX) and Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX). 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 Hanna Antley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hanna Antley accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Hanna Antley 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.

Is Hanna Antley affiliated with any hospitals?

According to CMS data, Hanna Antley is affiliated with Nacogdoches Medical Center.

When was this NPI record last updated?

The NPPES record for Hanna Antley was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.