NICOLE HANBURY PA-C
NPI 1215331517
Physician Assistant - Surgical in New Haven, CT

Active since October 15, 2014PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicole Hanbury Pa-c NPPES

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

NICOLE HANBURY PA-C (NPI 1215331517) is an individual surgical provider in New Haven, Connecticut, licensed in Connecticut (3215) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2014).

NPPES Registry Identity

NPI1215331517
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE HANBURYCredential: PA-C
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address413 Town Colony DrMiddletown, CT 06457-5909 · (203) 215-4870
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateOctober 15, 2014
Last NPPES UpdateApril 28, 2015
NPI 1215331517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 3215
20 YORK ST, New Haven, CT 06510

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

Nicole Hanbury Pa-c 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 ID2264743095
PECOS Enrollment IDI20150622000792
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
Social Worker (Clinical)
20 YORK ST, SOCIAL WORK EP10-635
NEW HAVEN, CT 06510

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 Nicole Hanbury's NPI number?

The NPI number for Nicole Hanbury is 1215331517. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Where is Nicole Hanbury located?

Nicole Hanbury practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Nicole Hanbury's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Hanbury enrolled in Medicare?

Yes. Nicole Hanbury 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 Nicole Hanbury was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.