Individual provider Active NPI

Andrea Jean Hanson, FNP

  • Family Nurse Practitioner
  • Sandstone, MN
National Provider Identifier
1245062546
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11972 Issued in MN
Practice address
501 Main St
Sandstone, MN 55072-4410
Phone
(320) 372-2323
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Selah Wellness Clinic LLC 8 clinicians

Practice addresses (Care Compare)

501 Main St
Sandstone, MN 55072-4410
Phone (320) 372-2323

Hospital & facility affiliations

  • Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309
  • Welia Health Hospital, Mora, MN, CCN 241367
  • Essentia Health Moose Lake Hospital, Moose Lake, MN, CCN 241350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241004003282 MN Practitioner - Nurse Practitioner 2163953852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Wellness Clinic LLC CurrentSince Sep 16, 2024 Accepting new patients
Selah Wellness Clinic LLC CurrentSince Sep 16, 2024 Accepting new patients
Selah Wellness Clinic LLC Past Accepting new patients

Locations

1300 Northridge Ct NW
Ste 2
Pine City, MN 55063
Phone (320) 372-2312

1300 Northridge Ct NW
Pine City, MN 55063
Phone (320) 372-2312

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11972 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

501 Main St
Sandstone, MN 55072-4410

Mailing address

501 Main St
Sandstone, MN 55072-4410
Phone (320) 372-2323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2024.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1245062546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550724410",
            "telephone_number": "320-372-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550724410",
            "telephone_number": "320-372-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandstone, MN

Sources for this page

Verify at the official NPI Registry.