Individual provider Active NPI

Hannah Liu, PA-C

  • Physician Assistant
  • Geneseo, NY
National Provider Identifier
1891102208
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017580 Issued in NY
Practice address
4302 Gateway Dr
Geneseo, NY 14454-9449
Phone
(585) 243-5990
Fax
(585) 243-3256
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017580 NY Primary

Addresses

Primary practice location

4302 Gateway Dr
Geneseo, NY 14454-9449

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

6856 Groveland Hill Rd
Groveland, NY 14462-9512
Phone (585) 245-1766

Other names 1

  • Hannah Dolan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hdolan354205@direct.rochesterregional.org Direct

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
I20140925001724 NY Practitioner - Physician Assistant 3779703715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 1, 2024 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Sep 19, 2022 Accepting new patients
Western New York Medical Practice P.C CurrentSince Sep 19, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

114 Court St
Geneseo, NY 14454
Phone (585) 243-5990

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

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

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: hdolan354205@direct.rochesterregional.org

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1891102208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 GATEWAY DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549449",
            "telephone_number": "585-243-5990",
            "fax_number": "585-243-3256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6856 Groveland Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "NY",
            "postal_code": "144629512",
            "country_code": "US",
            "telephone_number": "585-245-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "HANNAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdolan354205@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4302 Gateway Dr",
            "city": "Geneseo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144549449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "DOLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.