NPIMap

Individual provider Active NPI

Lindsay Keith Hanson, MD

  • Family Medicine Physician
  • Brewster, WA
National Provider Identifier
1023077922
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00025353 Issued in WA
Practice address
520 W Indian Ave
Brewster, WA 98812
Phone
(509) 689-2525
Fax
(509) 689-3247
NPI assigned
Mar 20, 2006
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00025353 WA Primary

Addresses

Primary practice location

520 W Indian Ave
Brewster, WA 98812

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 689-2525

Other names 1

  • L Keith Hanson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000175 WA Practitioner - Family Practice 7517851900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 W Indian Ave
Brewster, WA 98812-5003

PO Box
Suite 337
Brewster, WA 98812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.56 of 100Reported as group
Quality
25.9
Improvement activities
40
Cost
64.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jan 1, 2003 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jan 1, 2003 Accepting new patients
Central Washington Sleep Diagnostic Center, PLLC Current Accepting new patients
Family Health Centers Past Accepting new patients
MBB Brewster LLC Past Accepting new patients
Central Washington Medical Associates Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1023077922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988401340",
            "telephone_number": "509-689-2525",
            "fax_number": "509-689-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W INDIAN AVE",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "98812",
            "telephone_number": "509-689-2525",
            "fax_number": "509-689-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "LINDSAY",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00025353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L",
            "last_name": "HANSON",
            "middle_name": "KEITH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brewster, WA

Sources for this page

Verify at the official NPI Registry.