Individual provider Active NPI

Mark M Hansen, MD

  • Family Medicine Physician
  • Morton, WA
National Provider Identifier
1114013208
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P35289 Issued in WA
Practice address
521 Adams Ave Ste B
Morton, WA 98356-9323
Phone
(360) 496-5145
Fax
(360) 496-5093
NPI assigned
Oct 5, 2006
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P35289 WA Primary

Addresses

Primary practice location

521 Adams Ave Ste B
Morton, WA 98356-9323

Mailing address

PO Box 1138
Morton, WA 98356-0019
Phone (360) 496-5145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address markhansen@myarborhealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000997 WA Practitioner - Family PracticePractitioner - Hospitalist 4082672050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Hospital District No 1Group PAC ID 6002727385, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

521 Adams Ave
Morton, WA 98356-9323
Phone (360) 496-5112

531 Adams Ave
Morton, WA 98356-9323

PO Box
Suite 1138
Morton, WA 98356-0019

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P35289WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Hospital District No 1 CurrentSince Apr 13, 2020 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Apr 20, 2016 Accepting new patients
Lewis County Hospital District No. 1 Family Medicine CurrentSince Apr 20, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: markhansen@myarborhealth.cernerdirect.com

Organizations & group practices 3

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 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1114013208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560019",
            "telephone_number": "360-496-5145",
            "fax_number": "360-496-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ADAMS AVE STE B",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983569323",
            "telephone_number": "360-496-5145",
            "fax_number": "360-496-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "P35289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markhansen@myarborhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "521 Adams Ave Ste B",
            "city": "Morton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983569323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morton, WA

Sources for this page

Verify at the official NPI Registry.