JACQUELINE HANLEY
NPI 1316777212
Nurse Practitioner - Family in West Islip, NY

Q: What is Jacqueline Hanley's NPI number?

The NPI number for Jacqueline Hanley is 1316777212. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Q: What is Jacqueline Hanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Hanley was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 05, 2024PECOS EnrolledAccepts Medicare Assignment

180 SUNRISE HWY, WEST ISLIP, NY 11795(631) 893-0150 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline Hanley NPPES

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

JACQUELINE HANLEY (NPI 1316777212) is an individual family provider in West Islip, New York, licensed in New York (354908) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316777212

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE HANLEY

Location Address180 SUNRISE HWYWest Islip, NY 11795-2012

Mailing Address180 Sunrise HwyWest Islip, NY 11795-2012

Phone(631) 893-0150

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 5, 2024

NPPES CertifiedAugust 5, 2024

✔ NPI 1316777212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 354908

180 SUNRISE HWY, West Islip, NY 11795

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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

Jacqueline Hanley 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 ID9830686054

PECOS Enrollment IDI20251013002046

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

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

MS. CARMEN M KIRALY CWHNP

Nurse Practitioner (Women's Health)