Individual provider Active NPI

Hannah Hirsch, FNP-BC

  • Family Nurse Practitioner
  • Pomona, NY
National Provider Identifier
1003576430
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344058 Issued in NY
Practice address
11 Medical Park Dr Ste 104
Pomona, NY 10970-3559
Phone
(845) 827-3528
Fax
(845) 827-3005
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344058 NY Primary

Addresses

Primary practice location

11 Medical Park Dr Ste 104
Pomona, NY 10970-3559

Mailing address

11 Medical Park Dr Ste 104
Pomona, NY 10970-3559
Phone (845) 827-3528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002713 NY Practitioner - Nurse Practitioner 7012354897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559
Phone (845) 827-3528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F344058NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Wellness Family Health NP RN PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

11 Medical Park Dr
Ste 104
Pomona, NY 10970
Phone (845) 354-5180

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1003576430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR STE 104",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-827-3528",
            "fax_number": "845-827-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR STE 104",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-827-3528",
            "fax_number": "845-827-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "HANNAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.