Individual provider Active NPI

Benjamin Hanssen, FNP-C

  • Family Nurse Practitioner
  • Bonham, TX
National Provider Identifier
1154880789
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140792 Issued in TX
Practice address
1211 E 6TH St Ste 300
Bonham, TX 75418-4094
Phone
(903) 583-6155
NPI assigned
Mar 13, 2019
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 AP140792 TX Primary

Addresses

Primary practice location

1211 E 6TH St Ste 300
Bonham, TX 75418-4094

Mailing address

4307 Pecan LN
Melissa, TX 75454-2694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190416001549 TX Practitioner - Nurse Practitioner 2365783503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4311 Wesley St
Greenville, TX 75401-5639
Phone (903) 455-5958

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Service Agency, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Community Health Service Agency, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Community Health Service Agency, Inc Past Accepting new patients
Community Health Service Agency, Inc. Past Accepting new patients

Locations

1211 E 6th St
Ste 300
Bonham, TX 75418
Phone (903) 583-6155

920 N Center St
Bonham, TX 75418
Phone (903) 583-6155

91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586

1708 W Audie Murphy Pkwy
Ste 400
Farmersville, TX 75442
Phone (972) 782-6131

4311 Wesley St
Greenville, TX 75401
Phone (903) 455-5958

Interoperability endpoints

  • Direct secure messaging: benjamin.hanssen.p4@direct.chsa.nextgenshare.com

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, 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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1154880789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 PECAN LN",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST STE 300",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184094",
            "telephone_number": "903-583-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSSEN",
        "first_name": "BENJAMIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

Verify at the official NPI Registry.