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

Mrs. Kristen Hebert Hannaman, PA

Individual provider Physician Assistant · NPI 1063761898

Mrs. Kristen Hebert Hannaman, PA is a Physician Assistant in Lake Charles, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2012, 14 years ago. Practices with Lake Charles Urgent Care, a 14-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone: (337) 990-8000
Fax: (337) 990-8010
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 782 (LA)

Record details

NPI number1063761898
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 7, 2012
Last updated in NPPESAugust 14, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2012 (14 years in practice)
Group practice Lake Charles Urgent Care — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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