Active NPI
Casey S Hanson, MD
- Family Medicine Physician
- Trenton, ME
National Provider Identifier
1164536397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17174
- Practice address
- 394 Bar Harbor Rd
Trenton, ME 04605-5807 - Phone
- (207) 667-5899
- Fax
- (207) 801-5123
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bangor, ME
- NPI 1588720866
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
Hospital
-
- Community Based Hospice Care Agency
- South Portland, ME
- NPI 1578683280
Hospice
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Rochester School of Medicine and Dentistry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Desert Island Hospital
Practice addresses (Care Compare)
394 Bar Harbor Rd
Trenton, ME 04605-5807
Phone (207) 667-5899
Hospital & facility affiliations
- Community Health & Counseling Services
- Northern Light Home Care & Hospice
- Beacon Hospice, an Amedisys Company
- Gentiva
- Mount Desert Island Hospital
- Northern Light Maine Coast Hospital
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061006000344 | ME | Practitioner - Family Practice | 0143226522 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17174 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Current | Accepting new patients | |
| Mount Desert Island Hospital | Current | Accepting new patients |
Locations
322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082
390 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899
394 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17174 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
394 Bar Harbor Rd
Trenton, ME 04605-5807
Mailing address
PO Box 8
Bar Harbor, ME 04609-0008
Phone (207) 667-5899
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11615012 | Other | CAQH ID NUMBER | |
| MD17174 | Other | ME | STATE MD LICENSE |
| 432383799 | Medicaid | ME |
Other names 1
NPPES NPI Registry- Dr. Casey Smith
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2024.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1164536397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "BAR HARBOR",
"state": "ME",
"postal_code": "046090008",
"telephone_number": "207-667-5899",
"fax_number": "207-801-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 BAR HARBOR RD",
"city": "TRENTON",
"state": "ME",
"postal_code": "046055807",
"telephone_number": "207-667-5899",
"fax_number": "207-801-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "CASEY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD17174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID NUMBER",
"identifier": "11615012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MD LICENSE",
"identifier": "MD17174",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432383799",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "SMITH",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Trenton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.