Karissa Hanson, CNP
Individual provider Active NPI Nurse Practitioner · Baldwin, WI
NPI 1225535701 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1225535701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 6039 (MN)
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1111
- Fax
- (715) 684-1119
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Area Medical Center Inc
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
114 E Akers St
Spring Valley, WI 54767-4403
Phone (715) 778-5011
Hospital & facility affiliations
- Western Wisconsin Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250103002323 | WI | Practitioner - Nurse Practitioner | 7618218322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6039 | MN | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center Inc. | Current |
Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
Interoperability endpoints
- khanson65070@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6039 | MN | Yes |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1111
Other names
- Karissa Hanson
Other providers in Baldwin, WI
- Thomas G Field
- Kathleen E Findlay
- Forge Chiropractic
- Jana Lynne Gegen
- Grace Home Respiratory Inc
- Dennis R Hartung
- Heartfelt Therapy, LLC
- Lisa M. Helgeson
- Hillcrest Chiropractic LLC
- Erika Holbrook
All providers in Baldwin, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.