Kevin Hannah, LLC
NPI 1902414584 · Certified Registered Nurse Anesthetist · Fayetteville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Hannah, LLC is a Certified Registered Nurse Anesthetist organization in Fayetteville, AR (NPI 1902414584).
Provider details
- NPI number
- 1902414584
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kevin Hannah, President(479) 445-3393
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 tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Frequently asked questions
- What is Kevin Hannah, LLC's NPI number?
- Kevin Hannah, LLC's National Provider Identifier (NPI) is 1902414584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin Hannah, LLC?
- Kevin Hannah, LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Hannah, LLC located?
- Kevin Hannah, LLC's practice location on file with NPPES is 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422.
- What is Kevin Hannah, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kevin Hannah, LLC is (479) 445-3394.
- Does Kevin Hannah, LLC accept Medicare?
- Kevin Hannah, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kevin Hannah, LLC?
- The authorized official listed on Kevin Hannah, LLC's NPPES record is Kevin Hannah, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin Hannah, LLC's NPI active?
- Yes — Kevin Hannah, LLC's NPI (1902414584) is active in the NPPES registry as of the last update on 2020-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.