Individual provider Active NPI

Ashley Suzanne Hansen, APRN, FNP-C

  • Nurse Practitioner
  • Mountain View, CA
National Provider Identifier
1295006401
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95023606 Issued in CA
Practice address
2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636
Phone
(307) 431-2245
Fax
(303) 649-3101
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8078429-4405 UT
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 3-000982 AL
Primary Care Nurse Practitioner 363LP2300X APN.0991222-NP CO
Nurse Practitioner 363L00000X 95023606 CA Primary

Addresses

Primary practice location

2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636

Mailing address

12093 Mosey LN
Parker, CO 80138-6318
Phone (307) 431-2245

Other identifiers 2

IdentifierTypeStateIssuer
COA108830OtherCOMEDICARE
64155854MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95023606CAMDNurse Practitioner
3-000982ALMDFamily Nurse Practitioner
8078429-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1518576313 CurrentSince Oct 1, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 1, 2015 Accepting new patients
Portercare Adventist Health System Single Specialty Current Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9949 S Oswego St
Ste 200
Parker, CO 80134
Phone (303) 649-3100

Interoperability endpoints

  • Direct secure messaging: ashley.hansen@552337174953988.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1295006401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12093 MOSEY LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801386318",
            "telephone_number": "307-431-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHARLESTON RD STE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431636",
            "telephone_number": "307-431-2245",
            "fax_number": "303-649-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ASHLEY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8078429-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000982",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0991222-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "COA108830",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64155854",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.