Individual provider Active NPI

Phyllis Leppke Hansell, FNP-C

  • Family Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1023101631
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200050032NP Issued in OR
Practice address
600 NW 11TH St Ste E37
Hermiston, OR 97838-8604
Phone
(541) 567-5305
Fax
(541) 667-3487
NPI assigned
Oct 2, 2006
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200050032NP OR Primary

Addresses

Primary practice location

600 NW 11TH St Ste E37
Hermiston, OR 97838-8604

Mailing address

600 NW 11TH St #E37
Hermiston, OR 97838-8604
Phone (541) 567-5305

Other identifiers 1

IdentifierTypeStateIssuer
237486MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200050032NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J Winn MD Past Accepting new patients
Stewart D. Swena MD P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1023101631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST #E37",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388604",
            "telephone_number": "541-567-5305",
            "fax_number": "541-667-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E37",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388604",
            "telephone_number": "541-567-5305",
            "fax_number": "541-667-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELL",
        "first_name": "PHYLLIS",
        "middle_name": "LEPPKE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200050032NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237486",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.