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Hannah Lane Smith

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16455 Statesville Rd Ste 200, Huntersville, NC 28078-7125

PECOS Enrollment

This provider is enrolled in PECOS as HANNAH SMITH.

Based on the most recent information from CMS, provider Hannah Lane Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:49 AM.

Profile Details

Provider ID
1093530057
Provider Type
Individual
Full Name
Smith, Hannah Lane
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/15/2024
Last Updated
11/15/2024

Contact Information

Practice Location

16455 Statesville Rd Ste 200, Huntersville, NC 28078-7125

(704) 801-3011

Unlisted Fax

Mailing Location

16455 Statesville Rd Ste 200, Huntersville, NC 28078-7125

(704) 801-3011

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5021196 North Carolina

Hannah Lane Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kinder, Kelsie Nadine

Barnett, Kaitlyn G

Underwood, Ashley

Wiszczur, Jackie Ann

Araujo, Sheila Marie

Hennessee, Penny Lingerfelt

Witkin, Debra J

Kennedy, Tara Ann

Goyal, Payal

Chaffee, Kristen