Individual provider Active NPI

Justin Ian Hanson, DO

  • Emergency Medicine Physician
  • Delta, CO
National Provider Identifier
1033679238
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0076251 Issued in CO
Practice address
1501 E 3Rd St
Delta, CO 81416-2815
Phone
(970) 874-7681
NPI assigned
Mar 22, 2019
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12722218-1204 UT
Emergency Medicine Physician 207P00000X DR.0076251 CO Primary

Addresses

Primary practice location

1501 E 3Rd St
Delta, CO 81416-2815

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470

Other practice location 1

333 N 300 W
Salt Lake City, UT 84103-1215
Phone (801) 463-7415

Other practice location 2

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Other identifiers 1

IdentifierTypeStateIssuer
9000255129MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220908002095 UT Practitioner - Emergency Medicine 3274862354 Reassigns benefits to 3 organizations
I20251023004876 CO Practitioner - Emergency MedicinePractitioner - Urology 3274862354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians
West Emergency Services LLCGroup PAC ID 1850785296, 16 clinicians

Practice addresses (Care Compare)

1501 E 3Rd St
Delta Health
Delta, CO 81416-2815
Phone (970) 874-7681

300 N Hospital Dr
Price, UT 84501-4218
Phone (435) 637-4800

750 W 800
Orem, UT 84057-3660
Phone (801) 851-1499

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0076251COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital Current Accepting new patients
Hospitalist Medicine Physicians of Utah -TCG LLC Emergency Medicine CurrentSince Jun 25, 2023 Accepting new patients
Delta County Memorial Hospital Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
The Memorial Hospital CurrentSince Nov 20, 2025 Accepting new patients
Delta County Memorial Hospital Current Accepting new patients
West Emergency Services, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Delta County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
The Memorial Hospital CurrentSince Nov 20, 2025 Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

Interoperability endpoints

  • Direct secure messaging: jhanson25178@directmcleodehealth.org

Organizations & group practices 9

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 6

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1033679238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "970-874-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N 300 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841031215",
            "country_code": "US",
            "telephone_number": "801-463-7415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816258750",
            "country_code": "US",
            "telephone_number": "970-824-9411",
            "fax_number": "970-826-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JUSTIN",
        "middle_name": "IAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "12722218-1204",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0076251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000255129",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.