Active NPI
Phyllis Leppke Hansell, FNP-C
- Family Nurse Practitioner
- Hermiston, OR
National Provider Identifier
1023101631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200050032NP
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237486 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200050032NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
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- Hermiston, OR
- NPI 1770767766
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.