Individual provider Active NPI

Jennifer Day Hanson, MD

  • Family Medicine Physician
  • Bomoseen, VT
National Provider Identifier
1295878023
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
EC161051 Issued in ME
Practice address
275 Route 30 N
Bomoseen, VT 05732-9647
Phone
(802) 773-3386
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X EC161051 ME Primary

Addresses

Primary practice location

275 Route 30 N
Bomoseen, VT 05732-9647

Mailing address

76 High St
Lewiston, ME 04240-7649
Phone (207) 795-2800

Other practice location 1

76 High St
Lewiston, ME 04240-7649
Phone (207) 795-2800

Other practice location 2

215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386

Other practice location 3

420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6350

Other practice location 4

71 Allen St Ste 403
Rutland, VT 05701-4570
Phone (802) 772-7992

Other practice location 5

278 Vt Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

Other practice location 6

1 General Wing Rd
Rutland, VT 05701-4681
Phone (802) 773-9131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909002590 VT Practitioner - Family Practice 9638465917 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

2987 VT Route 22a
Shoreham, VT 05770-9728
Phone (802) 897-7000

Hospital & facility affiliations

  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
EC161051MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine Current Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Central Maine Medical Center Past Accepting new patients
Central Maine Medical Center Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • Direct secure messaging: jhanson@chcrr.medentdirect.com

Organizations & group practices 9

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1295878023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 30 N",
            "city": "BOMOSEEN",
            "state": "VT",
            "postal_code": "057329647",
            "telephone_number": "802-773-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 High St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407649",
            "country_code": "US",
            "telephone_number": "207-795-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Stratton Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014621",
            "country_code": "US",
            "telephone_number": "802-773-3386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Grove St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "VT",
            "postal_code": "057339062",
            "country_code": "US",
            "telephone_number": "802-247-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Allen St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014570",
            "country_code": "US",
            "telephone_number": "802-772-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Vt Route 149",
            "address_purpose": "LOCATION",
            "city": "West Pawlet",
            "state": "VT",
            "postal_code": "057759798",
            "country_code": "US",
            "telephone_number": "802-645-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 General Wing Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014681",
            "country_code": "US",
            "telephone_number": "802-773-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JENNIFER",
        "middle_name": "DAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "EC161051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bomoseen, VT

Sources for this page

Verify at the official NPI Registry.