Individual provider Active NPI

Karla Joann Hanson, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1023476272
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71007069A Issued in IN
Practice address
2000 Roosevelt Rd BLDG a
Valparaiso, IN 46383-2800
Phone
(219) 263-7240
NPI assigned
Feb 3, 2016
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71007069A IN Primary

Addresses

Primary practice location

2000 Roosevelt Rd BLDG a
Valparaiso, IN 46383-2800

Mailing address

85 E US 6 Frontage Rd
Valparaiso, AZ 46383
Phone (219) 983-8300

Other practice location 1

4821 N Stone Ave
Tucson, AZ 85704
Phone (520) 314-3300

Other practice location 2

85 E US 6 Frontage Rd
Valparaiso, IN 46383
Phone (219) 983-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171012000479 IN Practitioner - Nurse Practitioner 0749555076 Reassigns benefits to 2 organizations
I20241214000408 KY Practitioner - Nurse Practitioner 0749555076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Indiana LLCGroup PAC ID 3678874567, 15 clinicians

Practice addresses (Care Compare)

2000 Roosevelt Rd
BLDG a
Valparaiso, IN 46383-2800
Phone (219) 263-7240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007069AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Nautilus Health Care Group, PLC CurrentSince Dec 1, 2024 Accepting new patients
Northwest Hospitalist Physicians LLP CurrentSince Sep 6, 2017 Accepting new patients
Healogics Specialty Physicians of Indiana, LLC CurrentSince Jul 1, 2020 Accepting new patients
Nautilus Health Care Group LLC Past Accepting new patients
Nautilus Health Care Group LLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2000 Roosevelt Rd
Bldg A
Valparaiso, IN 46383
Phone (219) 263-7240

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

11800 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 509-3430

5000 Chamberlain Ln
Louisville, KY 40241
Phone (502) 475-9960

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

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 8

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1023476272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E US 6 FRONTAGE RD",
            "city": "VALPARAISO",
            "state": "AZ",
            "postal_code": "46383",
            "telephone_number": "219-983-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD BLDG A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-263-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4821 N Stone Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85704",
            "country_code": "US",
            "telephone_number": "520-314-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 E US 6 Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "46383",
            "country_code": "US",
            "telephone_number": "219-983-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KARLA",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71007069A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.