Active NPI
Andrea Marie Hanson
- Nurse Practitioner
- Fargo, ND
National Provider Identifier
1245772359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R38295
- Practice address
- 2400 32ND Ave South
Fargo, ND 58103 - Phone
- (701) 234-2000
- NPI assigned
- Nov 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R38295 | ND | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | R38295 | ND |
Addresses
Primary practice location
2400 32ND Ave South
Fargo, ND 58103
Mailing address
2400 32ND Ave South
Fargo, ND 58103
Phone (701) 234-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2401 41St St S
Suite 101
Fargo, ND 58104-7783
Phone (701) 551-6980
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Essentia Health
- Jamestown Regional Medical Center
- Pembina County Memorial Hospital
- Lisbon Area Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.29 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 44.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R38295 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pain Medicine, P.a. | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients |
Locations
2401 41st St S
Ste 101
Fargo, ND 58104
Phone (701) 388-3947
2401 41st St S
Ste 102
Fargo, ND 58104
Phone (701) 551-6980
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
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.
-
- Pain Clinic/Center
- Fargo, ND
- NPI 1902217474
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1215125463
-
- Critical Access Hospital
- Lisbon, ND
- NPI 1609872431
-
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
-
- Critical Access Hospital
- Cavalier, ND
- NPI 1760542500
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1245772359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 32ND AVE SOUTH",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-234-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 32ND AVE SOUTH",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-234-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "ANDREA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R38295",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ND",
"license": "R38295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.