NPIMap

Individual provider Active NPI

Hannah Hanlon, PA-C

  • Medical Physician Assistant
  • Batavia, NY
National Provider Identifier
1164072674
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
024039 Issued in NY
Practice address
319 W Main St
Batavia, NY 14020-1347
Phone
(585) 599-6446
Fax
(585) 599-3166
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 024039 NY Primary

Addresses

Primary practice location

319 W Main St
Batavia, NY 14020-1347

Mailing address

20 Main St
Andover, NY 14806-9303
Phone (607) 478-8421

Other names 1

  • Hannah Koons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023003152 NY Practitioner - Physician Assistant 1254663230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Orchard Community Health Center, Inc.Group PAC ID 5496746927, 41 clinicians

Practice addresses (Care Compare)

300 W Ave
Brockport, NY 14420-1118
Phone (716) 637-3905

319 W Main St
Batavia, NY 14020-1347
Phone (585) 637-3905

81 S Main St
Warsaw, NY 14569-1571
Phone (585) 228-1195

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Wyoming County Hospital, Warsaw, NY, CCN 331323
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince May 10, 2021 Accepting new patients
Oak Orchard Community Health Center Inc. CurrentSince Jun 24, 2024 Accepting new patients
James Three Seventeen Medical PLLC CurrentSince Sep 1, 2019 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Jun 24, 2024 Accepting new patients

Locations

319 W Main St
Batavia, NY 14020
Phone (585) 599-6446

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
#320
Rochester, NY 14642

81 S Main St
Warsaw, NY 14569
Phone (585) 228-1195

Interoperability endpoints

  • Direct secure messaging: hannah.hanlon@oochc.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1164072674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "ANDOVER",
            "state": "NY",
            "postal_code": "148069303",
            "telephone_number": "607-478-8421",
            "fax_number": "607-478-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201347",
            "telephone_number": "585-599-6446",
            "fax_number": "585-599-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "KOONS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.