Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Hanley

Individual provider Family Nurse Practitioner · NPI 1316777212

Jacqueline Hanley is a Nurse Practitioner in West Islip, New York. Qualified in 2024, 2 years ago. Practices with Planned Parenthood Hudson Peconic Inc, a 16-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

180 Sunrise Hwy
West Islip, NY 11795-2012
Phone: (631) 893-0150
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354908 (NY)

Record details

NPI number1316777212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address180 Sunrise Hwy, West Islip, NY 11795-2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Planned Parenthood Hudson Peconic Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Islip