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ELISA BATTISTONI HANNAN DMD, MD
NPI 1114420676
Oral & Maxillofacial Surgery in Avon, CT

Active since March 12, 2018Opted out of Medicare · through May 29, 2028
34 DALE RD STE 105, AVON, CT 06001(860) 674-8079 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 16, 2025, May 2, 2018, Mar 12, 2018 (3 updates tracked since 2018).

About Elisa Battistoni Hannan Dmd, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA BATTISTONI HANNAN DMD, MD (NPI 1114420676) is an individual oral & maxillofacial surgery provider in Avon, Connecticut, licensed in Connecticut (77680) and active in the NPI registry since March 2018. She has opted out of Medicare through May 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114420676
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameELISA BATTISTONI HANNANCredential: DMD, MD
Location Address34 DALE RD STE 105Avon, CT 06001-3659
Mailing Address34 Dale Rd Ste 105Avon, CT 06001-3659 · (860) 674-8079
Phone(860) 674-8079
Sole ProprietorNo
Enumeration DateMarch 12, 2018
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1114420676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CT · 77680
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 13976 (CT)
34 DALE RD STE 105, Avon, CT 06001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Elisa Battistoni Hannan Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2024 through May 29, 2028.

Opt-Out Effective DateMay 29, 2024
Opt-Out In Effect ThroughMay 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GABRIEL M. HAYEK MD, DMD
Oral & Maxillofacial Surgery
34 DALE RD STE 105
AVON, CT 06001
Capitol Planning Region (860) 679-8079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisa Hannan's NPI number?

The NPI number for Elisa Hannan is 1114420676. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Elisa Hannan located?

Elisa Hannan practices at 34 Dale Rd Ste 105, Avon, CT 06001. The listed phone number is (860) 674-8079.

What is Elisa Hannan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Elisa Hannan enrolled in Medicare?

No. Elisa Hannan has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Elisa Hannan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Elisa Hannan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elisa Hannan was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.