MRS. JENNIFER A HANLEY PA-C
NPI 1477502391
Physician Assistant - Surgical in Melbourne, FL

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
2200 W EAU GALLIE BLVD STE 202B, MELBOURNE, FL 32935(321) 254-7717(321) 255-2361 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2021, Jul 25, 2019 (2 updates tracked since 2019).

About Mrs. Jennifer A Hanley Pa-c NPPES

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

MRS. JENNIFER A HANLEY PA-C (NPI 1477502391) is an individual surgical provider in Melbourne, Florida, licensed in Florida (PA9100969) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1477502391
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. JENNIFER A HANLEYCredential: PA-C
Location Address2200 W EAU GALLIE BLVD STE 202BMelbourne, FL 32935-3166
Mailing AddressPo Box 361095Melbourne, FL 32936-1095 · (321) 254-7717 · Fax (321) 255-2361
Fax(321) 255-2361
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1477502391 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 FL · PA9100969
2200 W EAU GALLIE BLVD STE 202B, Melbourne, FL 32935

Other Names 1

Other Name (5)Jennifer Abboud Pa

Other Identifiers 3

OtherY04UHFL · Florida Blue Bcbs#
Medicaid290574400FL
Other9287537FL · Aetna Pin

Accepted Insurance

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

Mrs. Jennifer A Hanley 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 ID8628061116
PECOS Enrollment IDI20051128000283
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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
947 services155 patients
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.
326 services274 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
223 services177 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
184 services158 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
175 services151 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.
135 services112 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477502391, enumerated as an "individual" on May 08, 2006.

The provider is located at 2200 W EAU GALLIE BLVD STE 202B MELBOURNE, FL 32935 and the phone number is (321) 254-7717.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: UnitedHealthcare, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.