Vicki Hansen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A108661 Issued in IA

Practice address

206 N Arcade St
Maquoketa, IA 52060-2022

Phone

(563) 652-6711

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maquoketa Family ClinicGroup PAC ID 1951291095, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Vna Home health agency, Bettendorf, IA, CCN 167012
• In-Home Care Connection Home Health Services Home health agency, Moline, IL, CCN 148146
• Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
• Finley Hospital Hospital, Dubuque, IA, CCN 160117

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Maquoketa Family Clinic

  • Family Medicine Physician
  • Maquoketa, IA
  • NPI 1407845175
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Genesis Health System

  • Home Health Agency
  • Bettendorf, IA
  • NPI 1467404491
  Care Compare affiliation
• Genesis Health System

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Jackson County Public Hospital

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758
  Care Compare affiliation
• The Finley Hospital

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600
  Care Compare affiliation
• JKCD Healthcare Consulting, LLC

  • Home Health Agency
  • Moline, IL
  • NPI 1184150419
  Care Compare affiliation

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1124560206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N ARCADE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602022",
            "telephone_number": "563-652-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N ARCADE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602022",
            "telephone_number": "563-652-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2024-03-06",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Lee Gehl, DDS
• Kylie Shea Gerardy, PHARMD
• Carrington Giddings, COTA
• Sidney Hambly, M.S. CF-SLP
• Raymond McKenzie Hamilton, D.O.
• Heinrich Chiropractic PLLC
• Hillcrest Family Services
• Hillcrest Family Services
• Horst Chiropractic PC
• Paul Richard Horst, D.C.

• Family Nurse Practitioner in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.