Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah Nicole Coburn, PA-C

Individual provider Medical Physician Assistant · NPI 1174265219

Hannah Nicole Coburn, PA-C is a Physician Assistant in Dartmouth, Massachusetts. Qualified in 2020, 6 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone: (508) 996-3991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 — (303) 218-7774

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0008227 (CO)

Record details

NPI number1174265219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESNovember 20, 2023
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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