WANDA JUARROS HANLON M.D.
NPI 1720034242
Family Medicine in Bridgeport, CT

Q: What is Wanda Hanlon's NPI number?

The NPI number for Wanda Hanlon is 1720034242. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Wanda Hanlon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Hanlon was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 26, 2006PECOS Enrolled

64 BLACK ROCK AVE, BRIDGEPORT, CT 06605(203) 576-3885 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, Oct 3, 2024 (2 updates tracked since 2024).

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About Wanda Juarros Hanlon M.d. NPPES

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

WANDA JUARROS HANLON M.D. (NPI 1720034242) is an individual family medicine provider in Bridgeport, Connecticut, licensed in Connecticut (82035) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720034242

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameWANDA JUARROS HANLONCredential: M.D.

Location Address64 BLACK ROCK AVEBridgeport, CT 06605-1200

Mailing Address514 Americas Way # 12464Box Elder, SD 57719-7600

Phone(203) 576-3885

Sole ProprietorNo

Enumeration DateMay 26, 2006

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1720034242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CT · 82035✔ Licensed in WA · MD60621875✔ Licensed in AZ · 26518

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

64 BLACK ROCK AVE, Bridgeport, CT 06605

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Secondary Practice Locations 2

Location 11718 E Kessler BlvdLongview, WA 98632-1842 · Phone (360) 747-5800 · Fax (360) 575-3846

Location 218 NW 20th Ave Ste 101Battle Ground, WA 98604-4175 · Phone (360) 952-4457 · Fax (360) 828-7409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Juarros Hanlon M.d. 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.

Areas of Expertise CMS Part B claims

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.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06605 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.

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.

Reported Quality Measures

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

10%29 patients1/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

MONIQUE MISRA MD

Internal Medicine