HANNAH ALINA DEHERTOGH A-GNP-C
NPI 1417681818
Nurse Practitioner - Gerontology in West Hartford, CT

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
41 N MAIN ST STE 300, WEST HARTFORD, CT 06107(860) 313-0448 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, May 5, 2024, Aug 25, 2022 and 1 more (4 updates tracked since 2022).

About Hannah Alina Dehertogh A-gnp-c NPPES

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

HANNAH ALINA DEHERTOGH A-GNP-C (NPI 1417681818) is an individual gerontology provider in West Hartford, Connecticut, licensed in Connecticut (12.010825) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2022).

NPPES Registry Identity

NPI1417681818
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHANNAH ALINA DEHERTOGHCredential: A-GNP-C
Location Address41 N MAIN ST STE 300West Hartford, CT 06107-1929
Mailing Address24 Proctor DrWest Hartford, CT 06117-2037 · (860) 670-3075
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2022
Enumeration DateJuly 12, 2022
Last NPPES UpdateMay 27, 20244 updates tracked since enumeration
NPPES CertifiedMay 27, 2024
NPI 1417681818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CT · 12.010825
Also ListedRegistered NurseTaxonomy 163W00000X · License 172750 (CT)
41 N MAIN ST STE 300, West Hartford, CT 06107

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 Alina Dehertogh A-gnp-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 ID8325417702
PECOS Enrollment IDI20221206002913
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 8

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.
78 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
20 services19 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 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
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
41 N MAIN ST STE 300
WEST HARTFORD, CT 06107

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 Dehertogh's NPI number?

The NPI number for Hannah Dehertogh is 1417681818. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Hannah Dehertogh located?

Hannah Dehertogh practices at 41 N Main St Ste 300, West Hartford, CT 06107. The listed phone number is (860) 313-0448.

What is Hannah Dehertogh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Hannah Dehertogh enrolled in Medicare?

Yes. Hannah Dehertogh 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 Dehertogh was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.