HANNAH DELUCA PAC
NPI 1174195572
Physician Assistant in Hartford, CT

Active since July 14, 2021PECOS EnrolledAccepts Medicare Assignment
114 WOODLAND ST, HARTFORD, CT 06105(860) 714-4000 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2023, Dec 14, 2022, Jul 14, 2021 (3 updates tracked since 2021).

About Hannah Deluca Pac NPPES

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

HANNAH DELUCA PAC (NPI 1174195572) is an individual physician assistant in Hartford, Connecticut and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomfield, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174195572
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH DELUCACredential: PAC
Location Address114 WOODLAND STHartford, CT 06105-1208
Mailing Address252 Tryon StMiddletown, CT 06457-4536 · (860) 301-2002
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 14, 2021
Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1174195572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
114 WOODLAND ST, Hartford, CT 06105

Other Names 1

Former Name (1)Hannah Goulis Pac

Secondary Practice Location 1

Location 135 Jolley Dr Ste 301Bloomfield, CT 06002-4228 · Phone (860) 728-6760

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hannah Deluca Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204224777
PECOS Enrollment IDI20211102003199
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Hospitalist
114 WOODLAND ST
HARTFORD, CT 06105
Nurse Practitioner (Family)
114 WOODLAND ST
HARTFORD, CT 06105
Nurse Practitioner (Adult Health)
114 WOODLAND ST
HARTFORD, CT 06105
Clinic/Center (Dental)
114 WOODLAND ST
HARTFORD, CT 06105
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
HARTFORD, CT 06105
Nurse Anesthetist, Certified Registered
114 WOODLAND ST, WOODLAND ANESTHESIOLOGY ASSOCIATES PC
HARTFORD, CT 06105

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 Hannah Deluca's NPI number?

The NPI number for Hannah Deluca is 1174195572. It was assigned to this individual provider in the NPPES registry on July 14, 2021. The provider is also known as Hannah Goulis Pac.

Where is Hannah Deluca located?

Hannah Deluca practices at 114 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-4000.

What is Hannah Deluca's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hannah Deluca enrolled in Medicare?

Yes. Hannah Deluca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hannah Deluca was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.