Individual provider Active NPI

Christine M Hanna, APRN

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1053859249
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6852 Issued in CT
Practice address
800 Howard Ave FL 2
New Haven, CT 06519-1369
Phone
(203) 785-7191
Fax
(203) 785-2917
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 6852 CT Primary

Addresses

Primary practice location

800 Howard Ave FL 2
New Haven, CT 06519-1369

Mailing address

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-7191

Other practice location 1

112 Quarry Rd Ste 400
Trumbull, CT 06611-4877
Phone (203) 333-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170410001447 CT Practitioner - Nurse Practitioner 9234415019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

1305 Post Rd
Suite 212
Fairfield, CT 06824-6016
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6852CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jun 20, 2017 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Mar 1, 2022 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Mar 1, 2022 Accepting new patients
Yale University CurrentSince Jun 20, 2017 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

226 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 384-3235

1305 Post Rd
Ste 212
Fairfield, CT 06824

800 Howard Ave
Fl 2
New Haven, CT 06519
Phone (203) 785-2561

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

2001 W Main St
Ste 220
Stamford, CT 06902

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Organizations & group practices 5

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053859249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "203-785-7191",
            "fax_number": "203-785-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE FL 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "203-785-7191",
            "fax_number": "203-785-2917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Quarry Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114877",
            "country_code": "US",
            "telephone_number": "203-333-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.