Individual provider Active NPI

Tyler John Hanson, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1134723489
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001891 Issued in SD
Practice address
6101 S Louise Ave
Sioux Falls, SD 57108-5981
Phone
(605) 312-8000
NPI assigned
Nov 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001891 SD Primary

Addresses

Primary practice location

6101 S Louise Ave
Sioux Falls, SD 57108-5981

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other identifiers 2

IdentifierTypeStateIssuer
CP001891OtherSDSOUTH DAKOTA BOARD OF NURSING LICENSE NUMBER
F07202227OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thanson3788821@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20210324002002 SD Practitioner - Nurse Practitioner 1759798424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

6101 S Louise Ave
Sioux Falls, SD 57108-5981
Phone (605) 328-8000

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Jan 25, 2021 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Jan 25, 2021 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1105 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-5820

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

136 S Phillips Ave
Ste 102
Sioux Falls, SD 57104

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4000 N Brendan Ln
Sioux Falls, SD 57107

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

6101 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 312-8000

2601 S Ellis Rd
Sioux Falls, SD 57106
Phone (605) 312-3000

6110 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 328-5800

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1134723489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085981",
            "telephone_number": "605-312-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-27",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF NURSING LICENSE NUMBER",
            "identifier": "CP001891",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD",
            "identifier": "F07202227",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thanson3788821@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1305 W 18th St",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571050401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.