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

MS. Hannah Kate Wallis

Individual provider Physician Assistant · NPI 1093454548

MS. Hannah Kate Wallis is a Physician Assistant in Ipswich, Massachusetts. Qualified in 2022, 4 years ago. Practices with Pratt Medical Group Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022

Practice location Address checks out

11 Poplar St
Ipswich, MA 01938-2336
Phone: (978) 380-8163
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MA)

Record details

NPI number1093454548
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address11 Poplar St, Ipswich, MA 01938-2336

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pratt Medical Group Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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