Individual provider Active NPI

Julie F. Hanson, M.D.

  • Pediatrics Physician
  • Des Moines, IA
National Provider Identifier
1225089287
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-33325 Issued in IA
Practice address
330 Laurel St Ste 2100
Des Moines, IA 50314-3068
Phone
(515) 358-6500
Fax
(515) 643-8812
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-33325 IA Primary

Addresses

Primary practice location

330 Laurel St Ste 2100
Des Moines, IA 50314-3068

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-6500

Other practice location 1

330 Laurel St Ste 2100
Des Moines, IA 50314-3068
Phone (515) 643-8611

Other practice location 2

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-3440

Other practice location 3

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-3440

Other practice location 4

9421 Marketplace Dr
Norwalk, IA 50211-2338
Phone (515) 974-0800

Other identifiers 1

IdentifierTypeStateIssuer
0206649MedicaidIA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000074 IA Practitioner - Pediatric Medicine 2567588544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-33325IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics Inc CurrentSince Sep 11, 2017 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Sep 11, 2017 Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

330 Laurel St
Ste 2100
Des Moines, IA 50314
Phone (515) 358-6500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

9421 Marketplace Dr
Norwalk, IA 50211
Phone (515) 244-5005

Interoperability endpoints

  • Direct secure messaging: jhanson3946873@direct.trinity-health.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1225089287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-358-6500",
            "fax_number": "515-643-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST STE 2100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143068",
            "telephone_number": "515-358-6500",
            "fax_number": "515-643-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Laurel St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143068",
            "country_code": "US",
            "telephone_number": "515-643-8611",
            "fax_number": "515-643-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Langworthy St",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520017313",
            "country_code": "US",
            "telephone_number": "563-584-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Langworthy St",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520017313",
            "country_code": "US",
            "telephone_number": "563-584-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9421 Marketplace Dr",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "IA",
            "postal_code": "502112338",
            "country_code": "US",
            "telephone_number": "515-974-0800",
            "fax_number": "515-974-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JULIE",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-33325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206649",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.