JONATHAN HANNAH CRNP
NPI 1790104677
Nurse Practitioner - Family in Boaz, AL
About Jonathan Hannah Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN HANNAH CRNP (NPI 1790104677) is an individual family provider in Boaz, Alabama, licensed in Alabama (1-113457) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
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
Jonathan Hannah Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Hannah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boaz, AL 35957
- Reassigned Medicare billing, Alabama enrollment
- 38 clinicians in this Medicare group
Russellville, AL 35653
- Reassigned Medicare billing, Alabama enrollment
- 286 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35957 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Hannah's NPI number?
The NPI number for Jonathan Hannah is 1790104677. It was assigned to this individual provider in the NPPES registry on April 8, 2014.
Where is Jonathan Hannah located?
Jonathan Hannah practices at 2505 Us Hwy 431, Boaz, AL 35957. The listed phone number is (256) 593-8310.
What is Jonathan Hannah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jonathan Hannah enrolled in Medicare?
Yes. Jonathan Hannah 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 Jonathan Hannah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Hannah reassigns Medicare benefits to 2 organizations: Marshall Medical Center South (Boaz, AL) and App Of Alabama Ed PLLC (Russellville, AL). 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 Jonathan Hannah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Hannah accept?
Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Jonathan 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 Jonathan Hannah was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jonathan Hannah, CRNP · NPI 1790104677
Family physician in Boaz, Alabama. Individual provider, active in the CMS NPPES registry since April 8, 2014.
## Identity
- **NPI:** 1790104677 (Entity type: Individual)
- **Enumerated:** April 8, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-113457 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2505 US HWY 431, Boaz, AL 35957
- **Phone:** (256) 593-8310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Marshall Medical Center South (NPI 1760765028, Boaz, AL); App Of Alabama Ed PLLC (NPI 1659646040, Russellville, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** April 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1790104677) · Data from the CMS NPPES public registry.