MISS JACQUELINE FANCHON HANLEY
NPI 1982483152
Nurse Practitioner - Family in Petaluma, CA

Q: What is Jacqueline Hanley's NPI number?

The NPI number for Jacqueline Hanley is 1982483152. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Jacqueline Hanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Hanley was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 26, 2023PECOS Enrolled

1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Jacqueline Fanchon Hanley NPPES

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

MISS JACQUELINE FANCHON HANLEY (NPI 1982483152) is an individual family provider in Petaluma, California, licensed in California (95027396) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982483152

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS JACQUELINE FANCHON HANLEY

Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559

Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500

Phone(707) 559-7500

Sole ProprietorYes

Enumeration DateSeptember 26, 2023

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1982483152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95027396

1179 N MCDOWELL BLVD, Petaluma, CA 94954

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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)

Miss Jacqueline Fanchon Hanley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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.

REBECCA KATZ FINNEMORE MD

Family Medicine