KEVIN HANNAH, LLC
NPI 1902414584
Nurse Anesthetist, Certified Registered in Fayetteville, AR
About Kevin Hannah, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN HANNAH, LLC (NPI 1902414584) is a healthcare organization registered as a nurse anesthetist, certified registered in Fayetteville, Arkansas and active in the NPI registry since July 2020. The organization lists Kevin Hannah, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Hannah, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kevin Hannah, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kevin Hannah, LLC's NPI number?
The NPI number for Kevin Hannah, LLC is 1902414584. It was assigned to this organization in the NPPES registry on July 20, 2020.
Where is Kevin Hannah, LLC located?
Kevin Hannah, LLC is located at 11446 Mountain Spring Dr, Fayetteville, AR 72701. The listed phone number is (479) 445-3394.
What is Kevin Hannah, LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kevin Hannah, LLC enrolled in Medicare?
Yes. Kevin Hannah, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kevin Hannah, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Kevin Hannah, LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Hannah, LLC was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kevin Hannah, Llc · NPI 1902414584
Nurse Anesthetist, Certified Registered organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since July 20, 2020.
## Identity
- **NPI:** 1902414584 (Entity type: Organization)
- **Enumerated:** July 20, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Kevin Hannah, PRESIDENT
## Practice location
- **Address:** 11446 MOUNTAIN SPRING DR, Fayetteville, AR 72701-0422
- **Phone:** (479) 445-3394
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902414584) · Data from the CMS NPPES public registry.