NPIMap

Organization Active NPI

Hansen Pain and Wellness

  • Pain Medicine Physician
  • Crestview Hills, KY
National Provider Identifier
1235975749
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HANSEN PAIN AND WELLNESS
Practice address
340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117
Phone
(859) 957-0700
NPI assigned
Jul 3, 2024
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Dr. Kendall E Hansen, MDNPI 1417952722
Title
Owner
Phone
(859) 957-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117

Mailing address

340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117
Phone (859) 957-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114003046 KY Part B Supplier - Clinic/Group Practice 7012445380 Receives reassigned benefits from 1 practitioner
Practice locations: Crestview Hills, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1235975749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 260",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175117",
            "telephone_number": "859-957-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 260",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175117",
            "telephone_number": "859-957-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN PAIN AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-957-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.