Doctor profile · Federal record

Dr. Autumn Hanna, PA

Physician Assistant · South Bend, IN

  • NPI 1003677964
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
211 N Eddy St
South Bend, IN 466172808
(574) 234-8161
Mailing address
26621 Hamilton St
Edwardsburg, MI 491129691

Credentials & registration

NPPES · NUCC
NPI registered
January 2024 — 2 yrs on file
Profile last updated
August 19, 2025
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363A00000X — NUCC code
Medicaid
IN #300090479

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003677964. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$21
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Amgen Inc. 1 $20.98

By nature of payment

Food and Beverage
$21

Frequently asked questions

Auto-generated from federal data
What is Dr. Autumn Hanna's medical specialty?
Dr. Autumn Hanna practices Physician Assistant in South Bend, IN.
Where does Dr. Autumn Hanna practice?
Dr. Autumn Hanna practices at 211 N Eddy St, South Bend, IN 466172808. Office phone: 5742348161.
What is Dr. Autumn Hanna's NPI?
Dr. Autumn Hanna's National Provider Identifier (NPI) is 1003677964, issued by NPPES.
Does Dr. Autumn Hanna accept Medicare assignment?
Yes. Dr. Autumn Hanna accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.