Tea Hasanovic, PA-C
NPI 1073119780 · Physician Assistant · Fruitland, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tea Hasanovic, PA-C is a Physician Assistant provider in Fruitland, ID (NPI 1073119780).
Provider details
- NPI number
- 1073119780
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA-1978 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,724 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 1,249 | $5 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 394 | $42 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 277 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 270 | $71 |
| Destruction of Skin Growth, 1-14 Growths17110 | 137 | $80 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Triamcinolone Acetonide | 68 | 53 |
| Clobetasol Propionate | 56 | 48 |
| Ketoconazole | 45 | 33 |
| Dutasteride | 28 | — |
| Clindamycin Phosphate | 24 | 21 |
| Minocycline Hcl | 22 | 18 |
| Tacrolimus | 17 | 15 |
| Tretinoin | 15 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1623 S Wells AveMeridian, ID 83642-5040Phone: (208) 489-1450Fax: (208) 489-1451
- 11211 W Hercules DrStar, ID 83669-5074Phone: (208) 286-4254
Registry dates
- Enumerated
- 2020-12-08
- Last updated
- 2023-04-17
- Certified
- 2023-04-17
Frequently asked questions
- What is Tea Hasanovic's NPI number?
- Tea Hasanovic's National Provider Identifier (NPI) is 1073119780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tea Hasanovic's specialty?
- Tea Hasanovic is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tea Hasanovic located?
- Tea Hasanovic's practice location on file with NPPES is 2101 N Whitley Dr, Fruitland, ID 83619-2132.
- What is Tea Hasanovic's phone number?
- The practice phone number listed in the NPPES registry for Tea Hasanovic is (208) 452-5999.
- Does Tea Hasanovic accept Medicare?
- Tea Hasanovic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tea Hasanovic's NPI active?
- Yes — Tea Hasanovic's NPI (1073119780) is active in the NPPES registry as of the last update on 2023-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.