COLLEEN HANNON
NPI 1649706854
Nurse Practitioner - Family in New York, NY

Active since May 08, 2017PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
205 E 64TH ST, NEW YORK, NY 10065(646) 888-4232 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 21, 2018, May 8, 2017 (2 updates tracked since 2017).

About Colleen Hannon NPPES

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

COLLEEN HANNON (NPI 1649706854) is an individual family provider in New York, New York, licensed in New York (F341509-1) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649706854
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN HANNON
Location Address205 E 64TH STNew York, NY 10065
Mailing Address35 Edgewood RdCortlandt Manor, NY 10567-5121 · (914) 924-3948
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 8, 2017
Last NPPES UpdateAugust 21, 20182 updates tracked since enumeration
NPI 1649706854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F341509-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 637523 (NY)
205 E 64TH ST, New York, NY 10065

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

Colleen Hannon 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 ID1850655523
PECOS Enrollment IDI20180504000012
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Physical Therapist
205 E 64TH ST, SUITE 402
NEW YORK, NY 10065
Ophthalmology
205 E 64TH ST, SUITE 101
NEW YORK, NY 10065
Optometrist
205 E 64TH ST, SUITE 101
NEW YORK, NY 10065
Optometrist
205 E 64TH ST, SUITE 101
NEW YORK, NY 10065
Ophthalmology
205 E 64TH ST, SUITE 101
NEW YORK, NY 10065
Radiology (Body Imaging)
205 E 64TH ST, MEMORIAL SLOAN KETTERING HOSPITAL CENTER
NEW YORK, NY 10065
Physician Assistant
205 E 64TH ST
NEW YORK, NY 10065
Eyewear Supplier
205 E 64TH ST, SUITE 101
NEW YORK, NY 10065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649706854, enumerated as an "individual" on May 08, 2017.

The provider is located at 205 E 64TH ST NEW YORK, NY 10065 and the phone number is (646) 888-4232.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.