Kimberly A Hansen, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP00691 Issued in NM

Practice address

109 W Bland St
Roswell, NM 88203-5708

Phone

(575) 623-1303

Fax

(575) 622-1303

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rio Pecos Medical Associates LTDGroup PAC ID 5597746875, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khansen61160@ahs.direct-ci.com

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

• FHLP LLC

  dba FHL Pediatrics & FHL Pediatrics

  • Pediatrics Physician
  • Roswell, NM
  • NPI 1124446372
  Medicare reassignment NPD Authorized official
• Rio Pecos Medical Associates LTD

  • Obstetrics & Gynecology Physician
  • Roswell, NM
  • NPI 1033163076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1073523478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021974",
            "telephone_number": "575-623-1303",
            "fax_number": "575-622-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BLAND ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035708",
            "telephone_number": "575-623-1303",
            "fax_number": "575-622-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R33452",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP00691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "R33452",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephan K. Hancock
• Philip Carl Haney, D.D.S., F.A.G.D.
• Hanger Prosthetics & Orthotics West, Inc. (Hanger Clinic)
• Bridget Ann Hanks, M.S. SLP-CFY
• Kasey Lynn Hanna
• Lee W Harper, CRNA
• Heather Lynn Harris, RN
• Mary J. Harris, M.S. CCC-SLP
• Yvonne Rae Harris, RPH
• Elia Harrison

• Nurse Practitioner in Roswell, NM
• Providers in Roswell, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.