TIMOTHY PATRICK HANNIGAN PA-C
NPI 1396345427
Physician Assistant in Phoenix, AZ

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
2525 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-1015 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2025, Oct 28, 2020 (2 updates tracked since 2020).

About Timothy Patrick Hannigan Pa-c NPPES

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

TIMOTHY PATRICK HANNIGAN PA-C (NPI 1396345427) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (10442) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Concord, and is a graduate of Lincoln Memorial University Medical Department (2020).

NPPES Registry Identity

NPI1396345427
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY PATRICK HANNIGANCredential: PA-C
Location Address2525 E ROOSEVELT STPhoenix, AZ 85008-4948
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000 · Fax (602) 470-5064
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2020
Enumeration DateOctober 28, 2020
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1396345427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 10442 Licensed in NH · 1668
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.

2525 E ROOSEVELT ST, Phoenix, AZ 85008

Secondary Practice Location 1

Location 1264 Pleasant StConcord, NH 03301-2551 · Phone (603) 224-3368

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

Timothy Patrick Hannigan 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 ID2365897105
PECOS Enrollment IDI20250114002536
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 (Hematology & Oncology)
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Obstetrics & Gynecology
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Pediatrics
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Pediatrics
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Otolaryngology
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Physician Assistant
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2525 E ROOSEVELT ST, INTERNAL MEDICINE CLINIC
PHOENIX, AZ 85008
Obstetrics & Gynecology
2525 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396345427, enumerated as an "individual" on October 28, 2020.

The provider is located at 2525 E ROOSEVELT ST PHOENIX, AZ 85008 and the phone number is (602) 344-1015.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc., Blue Cross. Please consult your insurance carrier or call the provider to verify.