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HANNAH PROVINS
NPI 1780261222
Nurse Practitioner in Spotsylvania, VA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
94.94/100
CMS Quality Rating
12449 HERNDON RD, SPOTSYLVANIA, VA 22553(540) 848-3041 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2024, Mar 29, 2021 (2 updates tracked since 2021).

About Hannah Provins NPPES

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

HANNAH PROVINS (NPI 1780261222) is an individual nurse practitioner in Spotsylvania, Virginia, licensed in Virginia (0024181128) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2020).

NPPES Registry Identity

NPI1780261222
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHANNAH PROVINS
Location Address12449 HERNDON RDSpotsylvania, VA 22553-4031
Mailing Address12449 Herndon RdSpotsylvania, VA 22553-4031 · (540) 848-3041
Phone(540) 848-3041
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2020
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 29, 20242 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1780261222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024181128
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12449 HERNDON RD, Spotsylvania, VA 22553
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Hannah Provins 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 ID446642482
PECOS Enrollment IDI20231214001730
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services27 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22553 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.88
Improvement Activities40

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 Hannah Provins's NPI number?

The NPI number for Hannah Provins is 1780261222. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Hannah Provins located?

Hannah Provins practices at 12449 Herndon Rd, Spotsylvania, VA 22553. The listed phone number is (540) 848-3041.

What is Hannah Provins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hannah Provins enrolled in Medicare?

Yes. Hannah Provins 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 Hannah Provins accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Hannah Provins 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 Hannah Provins was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.