Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Mackenzie Hannah

Individual provider Physician Assistant · NPI 1255084679

Alexis Mackenzie Hannah is a Physician Assistant in Lima, Ohio. Qualified in 2021, 5 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803
Phone: (419) 224-5915
Fax: (419) 224-5918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 — (567) 803-0426

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255084679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2022
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address10810 Reservoir Rd, Ada, OH 45810-9213

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lima Memorial Professional Corporation — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lima