IndividualActiveAccepts Medicare

Mariya Hanneman, PA-C

NPI 1265764112 · Physician Assistant · Charlotte, NC

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1265764112
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: 0010-02169 (NC)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 0010-02169 (NC)
Physician Assistants & Advanced Practice Nursing Providers
Medical Physician Assistant363AM0700XLicense 0010-02169 (NC)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
16 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
3 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
116 Medicare services, 2024 (ranked within specialty)

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 methodology.

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)
New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203	56	$87
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	37	$72
Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811	23	$41

Typical Medicare-allowed amounts for these services range $41–$87 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Prednisone	45	39
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	19	19
Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim	17	16
Cephalexin	16	15
Azithromycin	15	15

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Practice location

501 S Sharon Amity Rd Ste 300

Charlotte, NC 28211-0035

Phone: (704) 377-2424

Street-level locationGet directions

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Mailing address