ELYSE HANNAN PA
NPI 1386011385
Physician Assistant - Surgical in New Windsor, NY

Q: What is Elyse Hannan's NPI number?

The NPI number for Elyse Hannan is 1386011385. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Q: What is Elyse Hannan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elyse Hannan was last updated on September 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2015PECOS Enrolled

91.11/100

CMS Quality Rating

219 BLOOMING GROVE TPKE, NEW WINDSOR, NY 12553(845) 561-8060 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2020, Jul 6, 2018, Mar 21, 2017 (3 updates tracked since 2017).

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About Elyse Hannan Pa NPPES

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

ELYSE HANNAN PA (NPI 1386011385) is an individual surgical provider in New Windsor, New York, licensed in New York (019059) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of Mercy College (2015).

NPPES Registry Identity

NPI1386011385

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameELYSE HANNANCredential: PA

Location Address219 BLOOMING GROVE TPKENew Windsor, NY 12553

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4057 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 561-8060

Sole ProprietorNo

Medical School CMSMercy CollegeGraduated 2015

Enumeration DateAugust 25, 2015

Last NPPES UpdateSeptember 15, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2020

✔ NPI 1386011385 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 · 019059

219 BLOOMING GROVE TPKE, New Windsor, NY 12553

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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 (PECOS)

Elyse Hannan Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284944166

PECOS Enrollment IDI20151104002296

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.

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330264

Location70 Dubois StreetNewburgh, NY 12550 · Orange 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.

91.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.71

Promoting Interoperability

100

Improvement Activities

Cost

98.42

Other Providers at the Same Location NPPES 17

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

MICHAEL ZYCHOWICZ

Specialist