Olivia Hansen, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A180022 Issued in IA

Practice address

4613 Progress Dr
Davenport, IA 52807-3483

Phone

(563) 344-2400

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olivia.hansen.1@27116.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27116/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/22589/brand/1/csg/1/fhir/r4

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.

• Midwest Medical Clinic LLC

  • Internal Medicine Physician
  • Davenport, IA
  • NPI 1992433528

  IA, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1235976374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 6TH AVE",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527422046",
            "telephone_number": "563-340-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 PROGRESS DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073483",
            "telephone_number": "563-344-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "OLIVIA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A180022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Hanna, MS ED
• David W Hannah, D.C.
• Hansel Family Eyecare, P.C.
• Jason Hansel, PHARMD
• Delos D Hansen, MD
• Scott Eugene Hansen, DDS
• Shelly Hansen
• Mary Hanson, PHARM D
• Ghasoub Harb, MD
• Christopher Charles Hardy, MD

• All providers in Davenport, IA
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.