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ANNALIESE HELEN HAWTHORNE PA-C
NPI 1548004229
Physician Assistant - Surgical in Hartford, CT

Active since June 19, 2024PECOS Enrolled
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-5022 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Annaliese Helen Hawthorne Pa-c NPPES

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

ANNALIESE HELEN HAWTHORNE PA-C (NPI 1548004229) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (006428) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548004229
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANNALIESE HELEN HAWTHORNECredential: PA-C
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address80 Seymour StHartford, CT 06102-8000 · (860) 972-5022
Phone(860) 972-5022
Sole ProprietorNo
Enumeration DateJune 19, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1548004229 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 CT · 006428
80 SEYMOUR ST, Hartford, CT 06102
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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)

Annaliese Helen Hawthorne Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Annaliese Hawthorne's NPI number?

The NPI number for Annaliese Hawthorne is 1548004229. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Annaliese Hawthorne located?

Annaliese Hawthorne practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-5022.

What is Annaliese Hawthorne's specialty?

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

Is Annaliese Hawthorne enrolled in Medicare?

Yes. Annaliese Hawthorne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annaliese Hawthorne was last updated on August 19, 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.