MISS MARISA KAE HANLON PA
NPI 1336616648
Physician Assistant - Surgical in Rochester, NY

Active since October 25, 2018PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7000(585) 723-7280 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 20, 2022, Oct 15, 2020, Oct 25, 2018 (3 updates tracked since 2018).

About Miss Marisa Kae Hanlon Pa NPPES

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

MISS MARISA KAE HANLON PA (NPI 1336616648) is an individual surgical provider in Rochester, New York, licensed in New York (025677) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Unity Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336616648
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS MARISA KAE HANLONCredential: PA
Location Address1555 LONG POND RDRochester, NY 14626-4122
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 723-7000 · Fax (585) 723-7280
Fax(585) 723-7280
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 25, 2018
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1336616648 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 NY · 025677
1555 LONG POND RD, Rochester, NY 14626

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

Miss Marisa Kae Hanlon Pa 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 ID5991116915
PECOS Enrollment IDI20201124001160
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Internal Medicine (Hematology & Oncology)
1555 LONG POND RD
ROCHESTER, NY 14626

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 Marisa Hanlon's NPI number?

The NPI number for Marisa Hanlon is 1336616648. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Marisa Hanlon located?

Marisa Hanlon practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7000.

What is Marisa Hanlon's specialty?

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

Is Marisa Hanlon enrolled in Medicare?

Yes. Marisa Hanlon 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.

Is Marisa Hanlon affiliated with any hospitals?

According to CMS data, Marisa Hanlon is affiliated with Unity Hospital.

When was this NPI record last updated?

The NPPES record for Marisa Hanlon was last updated on October 20, 2022. 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.