HANNAH FUSARO (PA-C) – Physician Assistant, NPI 1063224129

HANNAH FUSARO (PA-C) is a healthcare provider. based in Boca raton, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9119892 (FL). The NPI Number for HANNAH FUSARO (PA-C) is 1063224129

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH FUSARO (PA-C)
NPI
1063224129
Phone
(561) 955-6663
Address
1001 NW 13TH ST STE 201
Enumeration Date
24 January 2025
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
2860910403
Group Practice PAC ID
3870633753
Professional Enrollment ID
I20250516002085
Address ID
FL334862269BO1001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for HANNAH FUSARO (PA-C)

  • 1001 NW 13TH ST STE 201

    BOCA RATON, FL 334862269

    Phone: (561) 955-6663

    Type: Mailing

  • 800 MEADOWS RD

    BOCA RATON, FL 334862304

    Phone: (561) 955-4600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250516002085IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33486)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870633753View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
G A S T R O E N T E R O L O G YMA
U R O L O G YIA
-FL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does HANNAH FUSARO (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HANNAH FUSARO (PA-C) uses 1063224129.
Can I rely on HANNAH FUSARO (PA-C) being an active provider?
As of the registry snapshot, HANNAH FUSARO (PA-C) is marked active.
What is HANNAH FUSARO (PA-C)'s primary classification?
Physician Assistant is the headline specialty for HANNAH FUSARO (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for HANNAH FUSARO (PA-C)?
HANNAH FUSARO (PA-C)'s geographic hint is Boca Raton, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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