DR. AUDRA HANLEY M.D.
NPI 1588625271
General Practice in Ballston Lake, NY

Q: What is Audra Hanley's NPI number?

The NPI number for Audra Hanley is 1588625271. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Audra Hanley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Audra Hanley was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment

112 CHARLTON RD, BALLSTON LAKE, NY 12019(518) 399-7723(518) 399-6428 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Audra Hanley M.d. NPPES

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

DR. AUDRA HANLEY M.D. (NPI 1588625271) is an individual general practice provider in Ballston Lake, New York, licensed in New York (204679-5) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of State University Of Ny Upstate Medical University (1998).

NPPES Registry Identity

NPI1588625271

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. AUDRA HANLEYCredential: M.D.

Location Address112 CHARLTON RDBallston Lake, NY 12019-2547

Mailing Address112 Charlton RdBallston Lake, NY 12019-2547 · (518) 399-7723 · Fax (518) 399-6428

Phone(518) 399-7723

Fax(518) 399-6428

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1998

Enumeration DateMarch 31, 2006

Last NPPES UpdateJanuary 29, 2013

✔ NPI 1588625271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 204679-5

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

112 CHARLTON RD, Ballston Lake, NY 12019

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Other Identifiers 3

Medicare UPING82170NY

Medicaid01866004NY

Medicare PINBB2508NY

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

Dr. Audra Hanley M.d. 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 ID5092844951

PECOS Enrollment IDI20100602000612

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 4

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 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.

76 services54 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

35 services35 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.

32 services26 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.

19 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330013

Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County

Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330191

Location100 Park StreetGlens Falls, NY 12801 · Warren County

Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

DR. KARIN BORRELLI M.D.

Family Medicine