Active NPI
Marshall Peter Hansen, MD
- Family Medicine Physician
- Dundas, MN
National Provider Identifier
1194039495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43514
- Practice address
- 2980 130TH St E
Little Prairie United Methodist Church/Healthfinders
Dundas, MN 55019-4231 - Phone
- (507) 646-8964
- Fax
- (952) 516-5300
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43514 | MN | Primary |
| Family Medicine Physician | 207Q00000X | 13860 | SC |
Addresses
Primary practice location
2980 130TH St E
Little Prairie United Methodist Church/Healthfinders
Dundas, MN 55019-4231
Mailing address
416 6TH St E
Northfield, MN 55057-2501
Phone (507) 403-1048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43514 | MN | MD | Family Medicine Physician |
| 13860 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfinders Collaborative, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21423/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Faribault, MN
- NPI 1265744890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1194039495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 6TH ST E",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572501",
"telephone_number": "507-403-1048",
"fax_number": "952-516-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 130TH ST E",
"address_2": "LITTLE PRAIRIE UNITED METHODIST CHURCH/HEALTHFINDERS",
"city": "DUNDAS",
"state": "MN",
"postal_code": "550194231",
"telephone_number": "507-646-8964",
"fax_number": "952-516-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MARSHALL",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "43514",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "13860",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundas, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.