Jerome L Hansen, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105468 Issued in FL

Practice address

2155 W Mustang Blvd
Beverly Hills, FL 34465

Phone

(352) 746-5707

NPI assigned

Sep 17, 2010

Last updated

Sep 20, 2026By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nature Coast Orthopaedics & Sports Medicine Clinic, PA

  • Orthopaedic Surgery Physician
  • Beverly Hills, FL
  • NPI 1588697551
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1245548825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 B CEDAR TREE PLACE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334360530",
            "telephone_number": "561-706-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W MUSTANG BLVD",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "34465",
            "telephone_number": "352-746-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JEROME",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Glover, MA, MS
• Glen Herbert Goldsmith, P.T.A.
• Marilyn Jo Green, P.T.
• Kimberly Griffin, LMT
• Jason M Haas
• Lauren Hartwell
• Shellene M Hattersley, LCSW
• Healing Crossroads Corporation
• Michael R Hedden, LMHC
• Atif H Henen, RPH

• Surgical Physician Assistant in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.