FARDUWSA HASSAN
NPI 1417623471
Nurse Practitioner - Family in Hebron, KY

Active since August 19, 2021PECOS EnrolledAccepts Medicare Assignment
2940 HEBRON PARK DR STE 101, HEBRON, KY 41048(404) 934-0150 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 23, 2023, Nov 2, 2022, Sep 24, 2021 and 2 more (5 updates tracked since 2021).

About Farduwsa Hassan NPPES

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

FARDUWSA HASSAN (NPI 1417623471) is an individual family provider in Hebron, Kentucky, licensed in Kentucky (3016548) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417623471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFARDUWSA HASSAN
Location Address2940 HEBRON PARK DR STE 101Hebron, KY 41048-9535
Mailing Address2940 Hebron Park Dr Ste 101Hebron, KY 41048-9535 · (404) 934-0150
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2021
Last NPPES UpdateJanuary 23, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1417623471 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 KY · 3016548
2940 HEBRON PARK DR STE 101, Hebron, KY 41048

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

Farduwsa Hassan 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 ID547667628
PECOS Enrollment IDI20210916003331
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

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41048 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

Clinic/Center (Multi-Specialty)
2940 HEBRON PARK DR STE 101
HEBRON, KY 41048

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 Farduwsa Hassan's NPI number?

The NPI number for Farduwsa Hassan is 1417623471. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Farduwsa Hassan located?

Farduwsa Hassan practices at 2940 Hebron Park Dr Ste 101, Hebron, KY 41048. The listed phone number is (404) 934-0150.

What is Farduwsa Hassan's specialty?

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

Is Farduwsa Hassan enrolled in Medicare?

Yes. Farduwsa Hassan 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.

What insurance does Farduwsa Hassan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Farduwsa Hassan 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 Farduwsa Hassan was last updated on January 23, 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.