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

Hannah Marie Boustany, PA-C

Individual provider Medical Physician Assistant · NPI 1184474496

Hannah Marie Boustany, PA-C is a Physician Assistant in Jacksonville, Florida. Graduated from Yale University School of Medicine in 2023, 3 years ago. Practices with Public Hospital Dist No 1 Skagit, a 321-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Trained at
Yale University School of Medicine
Licensed in
WA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7015 A C Skinner Pkwy Bldg 100
Jacksonville, FL 32256-6932
Phone: (904) 516-3737
Fax: (904) 363-7453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 S 5th St, Mount Vernon, WA 98274-3942 — (360) 814-7300

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.PA.61516992 (WA)

Record details

NPI number1184474496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Public Hospital Dist No 1 Skagit — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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