Individual provider

Autumn Hanna, PA

Physician Assistant Medicare enrolled

Autumn Hanna, PA is a Physician Assistant in South Bend, IN, registered under NPI 1003677964. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

Here is what surrounds this office in South Bend, based on OpenStreetMap data collected Oct 14, 2026. Parking is available about 324 ft away. The nearest transit stop is 663 ft away, served by Eddy & McKinley NB. A pharmacy sits 9 ft from the entrance (South Bend Clinic Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.49 mi away.

211 N EDDY ST, South Bend, IN 46617 Open in Google Maps →

Getting here and what is nearby

Pharmacy South Bend Clinic Pharmacy 9 ft ~1 min

211 North Eddy Street, South Bend 46617

Website

Directions in Google Maps →

Parking 199 ft ~1 min
Parking 236 ft ~1 min
Parking 324 ft ~2 min
Transit Eddy & LaSalle WB 459 ft ~2 min
Transit Eddy & McKinley SB 641 ft ~3 min
Transit Eddy & McKinley NB 663 ft ~3 min
Convenience Eddy Street Food Mart 766 ft ~3 min
Gas station Marathon 721 ft ~3 min
Restaurant Subway 718 ft ~3 min

323 North Eddy Street, South Bend 46617

Mo-Sa 08:00-22:00; Su 09:00-21:00

+1 574-289-2000

Website

Directions in Google Maps →

Restaurant Barnaby's 0.32 mi ~7 min

713 East Jefferson Boulevard, South Bend 46617

Website

Directions in Google Maps →

Restaurant The Cellar Wine Bar & Kitchen 0.35 mi ~7 min

702 East Jefferson Boulevard, South Bend 46617

+1 574 217 8071

Website

Directions in Google Maps →

Coffee Zen Cafe 0.36 mi ~8 min

530 East LaSalle Avenue, South Bend 46617

Mo-Fr 08:00-18:00; Sa-Su 10:00-16:00

Website

Directions in Google Maps →

Grocery Purple Porch Co-op 0.37 mi ~8 min

123 North Hill Street, South Bend

Mo-Sa 08:00-20:00; Su 11:00-18:00

+1 574 287 6724

Website

Directions in Google Maps →

Coffee The General Deli & Cafe 0.38 mi ~8 min

609 East Jefferson Boulevard, South Bend 46617

Website

Directions in Google Maps →

Convenience 7-Eleven 0.41 mi ~9 min
Gas station Mobil 0.41 mi ~9 min
Coffee The Cat Lady Cafe 0.49 mi ~10 min

401 East Colfax Avenue, South Bend 46617

Website

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Oct 14, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4981045291
Enrollment ID
I20240516002469

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers ›Physician Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003677964 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 18, 2024
Last updatedAug 19, 2025
StatusActive
Sole proprietorYes
GenderFemale
CredentialPA
Practice address 211 N EDDY ST
South Bend, IN 46617
(574) 234-8161
Mailing address 26621 HAMILTON ST
Edwardsburg, MI 49112
Other names Autumn Axline Former Legal Business Name
Other identifiers 300090479 · Medicaid (IN)
This record was updated on Aug 19, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1003677964 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 6 7 7 9 6
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 0 0 3 3 7 5 9 3

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003677964?
NPI 1003677964 is the National Provider Identifier assigned to Autumn Hanna, PA in South Bend, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Autumn Hanna, PA?
The phone number on file with NPPES is (574) 234-8161, last updated Aug 19, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Autumn Hanna, PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting Autumn Hanna, PA?
Parking is about 324 ft from the office. The closest transit stop is 663 ft away, on Eddy & McKinley NB. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003677964 a valid number?
Yes. 1003677964 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.