Hannah Smith, PA-C
Physician Assistant in Vancouver, WA. Individual provider (NPI-1).
NPI number1407613649
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1407613649
- Entity type
- Individual (NPI-1)
- Name
- Hannah Smith
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA61522701 | WA | Yes |
Other names
- Hannah Audiss (Former Name)
Practice location
210 Se 136th AveVancouver, WA 98684-6930
Phone 360-944-9889
Mailing address
1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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